Mr Gus D Canaday Jr, ARNP | |
1312 S Garnett Rd, Suite E, Tulsa, OK 74128-1811 | |
(918) 437-2500 | |
(918) 437-2535 |
Full Name | Mr Gus D Canaday Jr |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | 1312 S Garnett Rd, Tulsa, Oklahoma |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215977798 | NPI | - | NPPES |
100171360B | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | R0067546 (Oklahoma) | Primary |
Entity Name | Ctca Physicans Group Of Oklahoma, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053309591 PECOS PAC ID: 2163328774 Enrollment ID: O20031212000074 |
Mailing Address | Practice Location Address |
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Mr Gus D Canaday Jr, ARNP 1312 S Garnett Rd, Ste E, Tulsa, OK 74128-1811 Ph: (918) 437-2500 | Mr Gus D Canaday Jr, ARNP 1312 S Garnett Rd, Suite E, Tulsa, OK 74128-1811 Ph: (918) 437-2500 |
Jennifer Christa Pimentel, ARNP, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6565 S Yale Ave Ste 209, Tulsa, OK 74136 Phone: 918-392-4550 Fax: 918-392-4551 | |
Casie Nicole Brim, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1919 S Wheeling Ave, Suite 606, Tulsa, OK 74104 Phone: 918-748-7676 Fax: 918-293-3130 | |
Jared Qualls, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Suite 460, Tulsa, OK 74104 Phone: 918-579-5749 Fax: 918-579-5762 | |
Adekemi Taiwo, APRN - CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 Phone: 918-615-3750 | |
Stephanie Ann Adame, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12697 E 51st St, Tulsa, OK 74146 Phone: 918-505-3200 | |
Mrs. Susan Elaine Graham, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2408 E 81st St Ste 900, Tulsa, OK 74137 Phone: 918-319-5021 Fax: 918-477-5853 | |
Lisa Michele Sample, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6161 S Yale Ave, Tulsa, OK 74136 Phone: 918-494-2200 |