Dmitry Sergeyevich Romanov, RN | |
106 Nw Veterans Blvd, Miami, OK 74354-1818 | |
(888) 777-9170 | |
Not Available |
Full Name | Dmitry Sergeyevich Romanov |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 106 Nw Veterans Blvd, Miami, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407599251 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 147999 (Kansas) | Secondary |
363LF0000X | Nurse Practitioner - Family | 81207 (Kansas) | Primary |
Entity Name | Community Health Center Of Southeast Kansas Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669474425 PECOS PAC ID: 7911816392 Enrollment ID: O20040209000163 |
Entity Name | Sound Physicians Emergency Medicine Of Kansas Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831689934 PECOS PAC ID: 6800141672 Enrollment ID: O20180619001843 |
Mailing Address | Practice Location Address |
---|---|
Dmitry Sergeyevich Romanov, RN Po Box 1832, Pittsburg, KS 66762-1832 Ph: (620) 240-5668 | Dmitry Sergeyevich Romanov, RN 106 Nw Veterans Blvd, Miami, OK 74354-1818 Ph: (888) 777-9170 |
Derekka Alyse Ybarra, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 30 B St Sw, Miami, OK 74354 Phone: 918-542-2273 | |
Crystal Merriman, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 106 Nw Veterans Blvd, Miami, OK 74354 Phone: 888-777-9170 | |
Holly Rochelle Richardson, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 S Treaty Rd, Miami, OK 74354 Phone: 918-238-3074 Fax: 918-238-3076 | |
Michelle Lynn Graham, ARNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 310 2nd Ave Sw, 106-b, Miami, OK 74354 Phone: 918-540-7634 Fax: 918-540-7641 | |
Mary Kathryn Sigler, ARNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 2nd Ave Sw, Miami, OK 74354 Phone: 918-540-7475 Fax: 918-540-7473 | |
Jessica Dawn Williams, DNP, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 A St Sw, Miami, OK 74354 Phone: 918-533-1836 | |
Carol Ann Demond, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7600 S Highway 69a, Miami, OK 74354 Phone: 918-542-1655 Fax: 918-332-4395 |