| Gastroenterology Specialists, Inc. | |
|
10210 E 91st St Tulsa OK 74133-5834 | |
| (918) 940-8500 | |
| (918) 940-8399 |
| Full Name | Gastroenterology Specialists, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10210 E 91st St, Tulsa, Oklahoma |
| Authorized Official Name and Position | John Hood (CHIEF OPERATION OFFICER) |
| Authorized Official Contact | 9189408500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gastroenterology Specialists, Inc. 10210 E 91st St Tulsa OK 74133-5834 Ph: (918) 940-8500 | Gastroenterology Specialists, Inc. 10210 E 91st St Tulsa OK 74133-5834 Ph: (918) 940-8500 |
| NPI Number | 1932152410 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 04/28/2022 |
| Medicare PECOS PAC ID | 0446251664 |
|---|---|
| Medicare Enrollment ID | O20070130000525 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932152410 | NPI | - | NPPES |
| 100738590A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Aimy L Scroggins |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801809942 PECOS PAC ID: 1850397928 Enrollment ID: I20061012000351 |
| Provider Name | David W Morris |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952367393 PECOS PAC ID: 3971504168 Enrollment ID: I20070131000363 |
| Provider Name | Sheldon C Berger |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1114982089 PECOS PAC ID: 5698777829 Enrollment ID: I20070201000045 |
| Provider Name | Roy Leland Thompson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053599951 PECOS PAC ID: 9133294713 Enrollment ID: I20080815000447 |
| Provider Name | Scott E Hendrickson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497714687 PECOS PAC ID: 5395882153 Enrollment ID: I20091027000678 |
| Provider Name | William K Briggs |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730176884 PECOS PAC ID: 2860493046 Enrollment ID: I20100327000629 |
| Provider Name | Michael J Martin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750378899 PECOS PAC ID: 4587665708 Enrollment ID: I20100327000638 |
| Provider Name | Jeffrey L Bigler |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164419362 PECOS PAC ID: 3678574852 Enrollment ID: I20100329000012 |
| Provider Name | John R Hood |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235126426 PECOS PAC ID: 3779584990 Enrollment ID: I20100329000673 |
| Provider Name | Jennifer D Young |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1881990703 PECOS PAC ID: 6406024322 Enrollment ID: I20110720000627 |
| Provider Name | Geoffrey A Fillmore |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1013022680 PECOS PAC ID: 8426140864 Enrollment ID: I20110831000406 |
| Provider Name | Mandy Rutter |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1063781623 PECOS PAC ID: 2860650066 Enrollment ID: I20120220000460 |
| Provider Name | Hollie E Shipley |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1922342351 PECOS PAC ID: 1951555804 Enrollment ID: I20130131000358 |
| Provider Name | Melissa Gilkison |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588053698 PECOS PAC ID: 8022333806 Enrollment ID: I20150219001542 |
| Provider Name | Aubrey B Ballard |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1679958797 PECOS PAC ID: 8628386562 Enrollment ID: I20150926000347 |
| Provider Name | Xian Zhang |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1750731014 PECOS PAC ID: 7719272426 Enrollment ID: I20160819001017 |
| Provider Name | Zena Roz Barkat |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295287506 PECOS PAC ID: 5890075907 Enrollment ID: I20161207001470 |
| Provider Name | Lizabeth E Malik |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1841735164 PECOS PAC ID: 4880979814 Enrollment ID: I20170314000918 |
| Provider Name | Susan Vanzandt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942715396 PECOS PAC ID: 7113286022 Enrollment ID: I20180123002226 |
| Provider Name | Sarah Elizabeth Jameson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699280982 PECOS PAC ID: 9436419900 Enrollment ID: I20180131001639 |
| Provider Name | Kristina B Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801394101 PECOS PAC ID: 4284996893 Enrollment ID: I20180320000449 |
| Provider Name | Katherine L Mcelroy |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1891170908 PECOS PAC ID: 0042526386 Enrollment ID: I20180424002036 |
| Provider Name | Mary Camille Chelf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821617077 PECOS PAC ID: 9234554528 Enrollment ID: I20200804000737 |
| Provider Name | Lora Beth Horton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962006585 PECOS PAC ID: 4385057736 Enrollment ID: I20210105000169 |
| Provider Name | Jessica L Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184397960 PECOS PAC ID: 4082003264 Enrollment ID: I20211109001430 |
| Provider Name | Courtney Renee Myers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023774353 PECOS PAC ID: 3971998584 Enrollment ID: I20220317002261 |
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