Scott D Martin, MD | |
1815 W 6th Ave, Stillwater, OK 74074-4202 | |
(405) 743-7375 | |
(405) 743-7253 |
Full Name | Scott D Martin |
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Gender | Male |
Speciality | Pediatrics |
Location | 1815 W 6th Ave, Stillwater, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780663708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 21251 (Oklahoma) | Primary |
Entity Name | Stillwater Medical Center Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558377135 PECOS PAC ID: 2365353794 Enrollment ID: O20040525001304 |
Mailing Address | Practice Location Address |
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Scott D Martin, MD 6600 S Yale Ave, Ste 1400, Tulsa, OK 74136-3310 Ph: (918) 488-6001 | Scott D Martin, MD 1815 W 6th Ave, Stillwater, OK 74074-4202 Ph: (405) 743-7375 |
Malinda G Webb, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 Fax: 405-743-7252 | |
Dr. Colbi Michelle Smithton, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 610 S Walnut St, Stillwater, OK 74074 Phone: 405-533-1474 Fax: 405-742-4990 | |
Susan Bullard, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7375 Fax: 918-743-7253 | |
Carla E Wilsey, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 Fax: 405-743-7269 | |
Amy Odom Hardin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1201 S Adams St, Stillwater, OK 74074 Phone: 405-742-7300 | |
Stephen E. Smalley, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 | |
Robert C Wright, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1815 W 6th Ave, Stillwater, OK 74074 Phone: 405-743-7300 Fax: 405-743-7269 |