| Stamar Medical Plc | |
|
550 W 125th Pl S Ste 200 Glenpool OK 74033-5026 | |
| (918) 224-7305 | |
| (918) 518-5730 |
| Full Name | Stamar Medical Plc |
|---|---|
| Speciality | Family Medicine |
| Location | 550 W 125th Pl S Ste 200, Glenpool, Oklahoma |
| Authorized Official Name and Position | Stacey Martin (OWNER) |
| Authorized Official Contact | 9182846642 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stamar Medical Plc 550 W 125th Pl S Ste 200 Glenpool OK 74033-5026 Ph: (918) 224-7305 | Stamar Medical Plc 550 W 125th Pl S Ste 200 Glenpool OK 74033-5026 Ph: (918) 224-7305 |
| NPI Number | 1750718730 |
|---|---|
| Provider Enumeration Date | 10/04/2013 |
| Last Update Date | 05/02/2024 |
| Medicare PECOS PAC ID | 6204065196 |
|---|---|
| Medicare Enrollment ID | O20140219001433 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750718730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 3218 (Oklahoma) | Primary |
| Provider Name | Joe D Sagely |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255321162 PECOS PAC ID: 1759270168 Enrollment ID: I20040313000109 |
| Provider Name | Bessie L Barnes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730158247 PECOS PAC ID: 7618938440 Enrollment ID: I20041025000415 |
| Provider Name | Ryan A Pitts |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356314603 PECOS PAC ID: 0941225023 Enrollment ID: I20051129000241 |
| Provider Name | Richard W Schafer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164411526 PECOS PAC ID: 2264515550 Enrollment ID: I20080211000016 |
| Provider Name | Colin J Morgan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194110502 PECOS PAC ID: 1254613086 Enrollment ID: I20170131000705 |
| Provider Name | April Michelle Crouch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285153338 PECOS PAC ID: 0345505913 Enrollment ID: I20180531002424 |
| Provider Name | Andrea Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518598564 PECOS PAC ID: 1153751979 Enrollment ID: I20200420000621 |
| Provider Name | Andrew Ryan Skousen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356948301 PECOS PAC ID: 7214341049 Enrollment ID: I20210205001586 |
| Provider Name | Angela D Skousen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407441751 PECOS PAC ID: 9133524473 Enrollment ID: I20210824002807 |
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