Oak Street Health Physicians Group Of Oklahoma, Llc | |
2130 Sw 59th St Oklahoma City OK 73119-7025 | |
(312) 733-9730 | |
Not Available |
Full Name | Oak Street Health Physicians Group Of Oklahoma, Llc |
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Speciality | Clinic/Center |
Location | 2130 Sw 59th St, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Griffin Myers (CMO) |
Authorized Official Contact | 3072642085 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oak Street Health Physicians Group Of Oklahoma, Llc Po Box 740020 Atlanta GA 30374-0020 Ph: (312) 733-9730 | Oak Street Health Physicians Group Of Oklahoma, Llc 2130 Sw 59th St Oklahoma City OK 73119-7025 Ph: (312) 733-9730 |
NPI Number | 1538742051 |
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Provider Enumeration Date | 05/03/2021 |
Last Update Date | 06/30/2023 |
Certification Date | 06/30/2023 |
Medicare PECOS PAC ID | 1355746769 |
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Medicare Enrollment ID | O20210824001241 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538742051 | NPI | - | NPPES |
Provider Name | Sheryl Stansifer |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861454274 PECOS PAC ID: 1052302593 Enrollment ID: I20040521001193 |
Provider Name | Rhonda A Sparks |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043288822 PECOS PAC ID: 8628004058 Enrollment ID: I20050715001018 |
Provider Name | Jennifer Lyn Hamil |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043329816 PECOS PAC ID: 9830196658 Enrollment ID: I20061108000437 |
Provider Name | Therese D Miner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033148697 PECOS PAC ID: 1153369772 Enrollment ID: I20070228000472 |
Provider Name | Sherry A Miller |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508059114 PECOS PAC ID: 3678645546 Enrollment ID: I20080709000522 |
Provider Name | Nathan I Valentine |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275688707 PECOS PAC ID: 8628143187 Enrollment ID: I20080818000479 |
Provider Name | Carmen Oakes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003040528 PECOS PAC ID: 6406049527 Enrollment ID: I20101021000919 |
Provider Name | John Schumann |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144383654 PECOS PAC ID: 3971685157 Enrollment ID: I20111027000526 |
Provider Name | Scott Thomas Shepherd |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1053569640 PECOS PAC ID: 7416113246 Enrollment ID: I20120724000308 |
Provider Name | Amanda Lynn Brown |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689806259 PECOS PAC ID: 5193972800 Enrollment ID: I20120831000702 |
Provider Name | Nydia E Parks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104240183 PECOS PAC ID: 0345473336 Enrollment ID: I20140428001004 |
Provider Name | Charles Pollard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497164396 PECOS PAC ID: 4183942683 Enrollment ID: I20150414000120 |
Provider Name | Sara J Evans |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235595059 PECOS PAC ID: 5890841274 Enrollment ID: I20160308000304 |
Provider Name | Brent Wayne Beasley |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1043278484 PECOS PAC ID: 4981632106 Enrollment ID: I20160627000055 |
Provider Name | Benjamin Panagiotis Mansalis |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1760777627 PECOS PAC ID: 5991956526 Enrollment ID: I20180110003093 |
Provider Name | Eric Beaver |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669866737 PECOS PAC ID: 5193074276 Enrollment ID: I20181009001301 |
Provider Name | Monica Ann Kirkendoll |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750821658 PECOS PAC ID: 6103162227 Enrollment ID: I20190110002655 |
Provider Name | Francisca Trujillo |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467003830 PECOS PAC ID: 9830525146 Enrollment ID: I20200205001288 |
Provider Name | Mackenzie Lynn Ainsworth |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770147688 PECOS PAC ID: 6204258320 Enrollment ID: I20200618002016 |
Provider Name | Mary Claire J Carbonell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457956286 PECOS PAC ID: 4385051473 Enrollment ID: I20210408001313 |
Provider Name | Deshell Tillman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396356143 PECOS PAC ID: 9830508803 Enrollment ID: I20210503002253 |
Provider Name | Natalia Klusacek |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497142285 PECOS PAC ID: 1759686660 Enrollment ID: I20220318000753 |
Provider Name | Justin Hunt |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1326138074 PECOS PAC ID: 6901842228 Enrollment ID: I20220701000466 |
Provider Name | Jean Anderson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518242064 PECOS PAC ID: 1557528817 Enrollment ID: I20221103002365 |
Provider Name | Rachel Sabb |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629321096 PECOS PAC ID: 0547412371 Enrollment ID: I20221121003391 |
Provider Name | Cindy Suthar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750815981 PECOS PAC ID: 6204113194 Enrollment ID: I20221128001408 |
Provider Name | Luz Mariel Hidalgo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518283159 PECOS PAC ID: 2365814019 Enrollment ID: I20230207002001 |
Provider Name | Laurie Darlene Field |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467877159 PECOS PAC ID: 2567835663 Enrollment ID: I20230309002414 |
Provider Name | Rochelle Brumfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518415959 PECOS PAC ID: 4486935533 Enrollment ID: I20230321002388 |
Provider Name | Joanna Stacy Cabrera |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841991502 PECOS PAC ID: 0446625784 Enrollment ID: I20230418002981 |
Provider Name | Joella Anglin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1003830605 PECOS PAC ID: 8921048422 Enrollment ID: I20231012001120 |
Provider Name | Andrea N Males |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508196007 PECOS PAC ID: 2961859814 Enrollment ID: I20231114002629 |
Provider Name | Melissa Cruz |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205473881 PECOS PAC ID: 2466874680 Enrollment ID: I20240319000047 |
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