| Darsco Health Llc | |
|
215 N Midwest Blvd Midwest City OK 73110-4320 | |
| (405) 455-5330 | |
| Not Available |
| Full Name | Darsco Health Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 215 N Midwest Blvd, Midwest City, Oklahoma |
| Authorized Official Name and Position | Scott Mayer (DIRECTOR) |
| Authorized Official Contact | 7202195856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Darsco Health Llc 2801 Parklawn Dr Ste 100 Midwest City OK 73110-4224 Ph: () - | Darsco Health Llc 215 N Midwest Blvd Midwest City OK 73110-4320 Ph: (405) 455-5330 |
| NPI Number | 1922644061 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 08/14/2023 |
| Medicare PECOS PAC ID | 2163851478 |
|---|---|
| Medicare Enrollment ID | O20200408001978 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922644061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Denise Joan Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548568512 PECOS PAC ID: 8022144997 Enrollment ID: I20170127002097 |
| Provider Name | Braden Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245762020 PECOS PAC ID: 0941587430 Enrollment ID: I20170510002622 |
| Provider Name | Mendy Marie Stoeser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629540893 PECOS PAC ID: 3173956976 Enrollment ID: I20191210000541 |
| Provider Name | Carla J Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487266532 PECOS PAC ID: 3577976588 Enrollment ID: I20210113000211 |
| Provider Name | Jana M Webb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568044501 PECOS PAC ID: 1850780933 Enrollment ID: I20211110002846 |
| Provider Name | Kandice Danielle Haines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306504964 PECOS PAC ID: 3375934037 Enrollment ID: I20220106002875 |
| Provider Name | Hasina Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669732061 PECOS PAC ID: 9032582432 Enrollment ID: I20230306002435 |
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