| Hospitalist Medicine Physicians Of Oklahoma-tcg, Llc | |
|
1000 N Lee Ave Oklahoma City OK 73102-1036 | |
| (405) 272-7000 | |
| Not Available |
| Full Name | Hospitalist Medicine Physicians Of Oklahoma-tcg, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1000 N Lee Ave, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Kryshinda Miles (DIRECTOR) |
| Authorized Official Contact | 8035438559 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hospitalist Medicine Physicians Of Oklahoma-tcg, Llc 5410 Maryland Way Ste 300 Brentwood TN 37027-5339 Ph: (615) 377-5658 | Hospitalist Medicine Physicians Of Oklahoma-tcg, Llc 1000 N Lee Ave Oklahoma City OK 73102-1036 Ph: (405) 272-7000 |
| NPI Number | 1730667296 |
|---|---|
| Provider Enumeration Date | 08/06/2018 |
| Last Update Date | 03/05/2024 |
| Medicare PECOS PAC ID | 7214349208 |
|---|---|
| Medicare Enrollment ID | O20201216000610 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730667296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Himanshu Bhardwaj |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669604450 PECOS PAC ID: 9234380999 Enrollment ID: I20121107000025 |
| Provider Name | Jacob Richard Adams |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558595090 PECOS PAC ID: 6103043765 Enrollment ID: I20210310000795 |
| Provider Name | Hesham Hassaballa |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861440893 PECOS PAC ID: 7618915927 Enrollment ID: I20210519001926 |
| Provider Name | Kenneth Q Cruz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598705196 PECOS PAC ID: 6103861919 Enrollment ID: I20210713004004 |
| Provider Name | Danial Arshed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1174943732 PECOS PAC ID: 1658622121 Enrollment ID: I20230310001061 |
| Provider Name | Timothy John Fernstrom |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457552168 PECOS PAC ID: 3678665551 Enrollment ID: I20230313002652 |
| Provider Name | Daniel Ilfrey Lincoln |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215258595 PECOS PAC ID: 1850532565 Enrollment ID: I20230405001476 |
| Provider Name | Omar Taha |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841618303 PECOS PAC ID: 1355686312 Enrollment ID: I20230413002860 |
| Provider Name | Edward Dyer |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760601694 PECOS PAC ID: 1254586753 Enrollment ID: I20230414002427 |
| Provider Name | Neeraj Katriyar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1396704573 PECOS PAC ID: 5890770812 Enrollment ID: I20230418001362 |
| Provider Name | Nicolas Castellano |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1215194337 PECOS PAC ID: 1850587718 Enrollment ID: I20230530000955 |
| Provider Name | Haala Rokadia |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376787333 PECOS PAC ID: 6901034321 Enrollment ID: I20230606001011 |
| Provider Name | Eugene Yeh |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518198274 PECOS PAC ID: 1052628856 Enrollment ID: I20230607002177 |
| Provider Name | Benjamin Illum |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1689913873 PECOS PAC ID: 9638459084 Enrollment ID: I20230628001312 |
| Provider Name | Hany Farag |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1538362066 PECOS PAC ID: 8426100074 Enrollment ID: I20230825001525 |
| Provider Name | Arturo R Vega |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710194626 PECOS PAC ID: 6608961867 Enrollment ID: I20230921000435 |
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