Allied Wound Care Specialist Pllc | |
1145 W I 240 Service Rd Ste F100 Oklahoma City OK 73139-2134 | |
(405) 900-4995 | |
Not Available |
Full Name | Allied Wound Care Specialist Pllc |
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Speciality | Clinic/Center |
Location | 1145 W I 240 Service Rd Ste F100, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Marybeth Norbury (COO) |
Authorized Official Contact | 4059004995 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Allied Wound Care Specialist Pllc Po Box 1065 Norman OK 73070-1065 Ph: (405) 900-4995 | Allied Wound Care Specialist Pllc 1145 W I 240 Service Rd Ste F100 Oklahoma City OK 73139-2134 Ph: (405) 900-4995 |
NPI Number | 1497361273 |
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Provider Enumeration Date | 09/17/2020 |
Last Update Date | 05/09/2024 |
Medicare PECOS PAC ID | 5698195360 |
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Medicare Enrollment ID | O20201019001492 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497361273 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Long T Nguyen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1811956006 PECOS PAC ID: 2163413543 Enrollment ID: I20040524000651 |
Provider Name | Senthil K Raju |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1922009075 PECOS PAC ID: 3779560719 Enrollment ID: I20090122000126 |
Provider Name | Siddhartha Rangineni |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1780817700 PECOS PAC ID: 1759551633 Enrollment ID: I20110901000234 |
Provider Name | Marianne I Bacharach |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1811916042 PECOS PAC ID: 6002074317 Enrollment ID: I20120215000901 |
Provider Name | Brant Quinn Bennett |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841519360 PECOS PAC ID: 5193977650 Enrollment ID: I20121207000099 |
Provider Name | Danh Pham |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932426269 PECOS PAC ID: 7214181379 Enrollment ID: I20130205000069 |
Provider Name | Gary R Burman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700851557 PECOS PAC ID: 4183682925 Enrollment ID: I20141104001947 |
Provider Name | Amy F Sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437155694 PECOS PAC ID: 7911960513 Enrollment ID: I20151215002507 |
Provider Name | Ashley Michelle Wakelee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891246245 PECOS PAC ID: 2365726973 Enrollment ID: I20170227002350 |
Provider Name | Ashley D Amaireh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801350152 PECOS PAC ID: 2466793005 Enrollment ID: I20190409002834 |
Provider Name | Brittany E King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053962472 PECOS PAC ID: 4789017740 Enrollment ID: I20191204002605 |
Provider Name | Rochelle Barringer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093367807 PECOS PAC ID: 1850725508 Enrollment ID: I20200106000993 |
Provider Name | Marlee Tosh Robinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386146041 PECOS PAC ID: 0547672073 Enrollment ID: I20201207002378 |
Provider Name | Kate Lauren Grimm |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629669320 PECOS PAC ID: 2769899608 Enrollment ID: I20210322000779 |
Provider Name | Mariah Jo Harmon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992464978 PECOS PAC ID: 4789076704 Enrollment ID: I20220124001955 |
Provider Name | Caitlin Diana Van Buskirk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972202802 PECOS PAC ID: 9234594318 Enrollment ID: I20230425000406 |
Provider Name | Heather Amanda Chin Hwa Rutledge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922629054 PECOS PAC ID: 4385093624 Enrollment ID: I20231212000733 |
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