Roy N Grantham, MD | |
4221 S Western Ave, 2010, Oklahoma City, OK 73109-3447 | |
(405) 231-0540 | |
(405) 644-5309 |
Full Name | Roy N Grantham |
---|---|
Gender | Male |
Speciality | Surgery - Vascular Surgery |
Location | 4221 S Western Ave, Oklahoma City, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568457265 | NPI | - | NPPES |
5765290 | Other | OK | AETNA |
060052653 | Other | RAILROAD MEDICARE | |
100122170A | Medicaid | OK | |
125309100 | Other | OK | DOL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 16465 (Oklahoma) | Primary |
Entity Name | Advance Physicians Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750395448 PECOS PAC ID: 0244122083 Enrollment ID: O20040326000898 |
Mailing Address | Practice Location Address |
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Roy N Grantham, MD 3545 Nw 58th St, 450, Oklahoma City, OK 73112-4726 Ph: (405) 951-4360 | Roy N Grantham, MD 4221 S Western Ave, 2010, Oklahoma City, OK 73109-3447 Ph: (405) 231-0540 |
Dr. Beverly Jean Talbert, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 825 Ne 10th St, Oupb5350, Oklahoma City, OK 73104 Phone: 405-271-4864 Fax: 405-271-1643 | |
Michael Taylor Heath, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 800 Stanton L Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6308 | |
Dr. Teresa Marie Shavney, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Nw Expressway, Suite 420, Oklahoma City, OK 73112 Phone: 405-713-9935 Fax: 405-713-9936 | |
Dr. Mary Kathleen Lindemuth, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 10900 Hefner Pointe Dr, Oklahoma City, OK 73120 Phone: 405-552-0400 Fax: 405-752-4251 | |
Stephen Thomas Mahoney, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3366 Nw Expressway Ste 800, Oklahoma City, OK 73112 Phone: 405-713-9935 Fax: 405-713-9936 | |
John Stephen Chaffin, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3433 Nw 56th St, Ste 760, Oklahoma City, OK 73112 Phone: 405-951-4345 Fax: 405-951-4392 | |
Juan Claros-sorto, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 920 Sl Young Blvd, Oklahoma City, OK 73104 Phone: 405-271-6308 |