| Geriatric Medical Services Inc. | |
|
3545 Nw 58th St Ste 750 Oklahoma City OK 73112-4710 | |
| (405) 692-2118 | |
| (405) 691-6499 |
| Full Name | Geriatric Medical Services Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 3545 Nw 58th St Ste 750, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kerry Cranmer (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4056922118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Medical Services Inc. Po Box 19635 Oklahoma City OK 73144-0635 Ph: (405) 692-2118 | Geriatric Medical Services Inc. 3545 Nw 58th St Ste 750 Oklahoma City OK 73112-4710 Ph: (405) 692-2118 |
| NPI Number | 1356373815 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 10/31/2011 |
| Medicare PECOS PAC ID | 0749170447 |
|---|---|
| Medicare Enrollment ID | O20040317000481 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356373815 | NPI | - | NPPES |
| 800522004 | Other | OK | MEDICARE |
| 100711480A | Other | OK | MEDICAID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 20328 (Oklahoma) | Primary |
| Provider Name | Kerry W Cranmer |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629010517 PECOS PAC ID: 5597675645 Enrollment ID: I20100708000583 |
| Provider Name | Michael Thrower |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366648859 PECOS PAC ID: 4880889682 Enrollment ID: I20101105000817 |
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