| Essential Md, Pllc | |
|
6316 E 102nd St Ste 100 Tulsa OK 74137-7061 | |
| (918) 600-2233 | |
| (918) 600-2234 |
| Full Name | Essential Md, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6316 E 102nd St Ste 100, Tulsa, Oklahoma |
| Authorized Official Name and Position | Jonathan Edward Mcghee (OWNER) |
| Authorized Official Contact | 9186002233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Essential Md, Pllc 6316 E 102nd St Ste 100 Tulsa OK 74137-7061 Ph: (918) 600-2233 | Essential Md, Pllc 6316 E 102nd St Ste 100 Tulsa OK 74137-7061 Ph: (918) 600-2233 |
| NPI Number | 1184222705 |
|---|---|
| Provider Enumeration Date | 10/15/2020 |
| Last Update Date | 10/15/2020 |
| Medicare PECOS PAC ID | 0941620637 |
|---|---|
| Medicare Enrollment ID | O20201019002064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184222705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Charlene D Hoover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104092964 PECOS PAC ID: 0648444356 Enrollment ID: I20111115000397 |
| Provider Name | Jonathan E Mcghee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912104829 PECOS PAC ID: 2365619574 Enrollment ID: I20120111000317 |
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