Icare Center Llc | |
21001 Se 29th St Unit 1 Harrah OK 73045-6577 | |
(405) 391-5526 | |
(405) 391-5529 |
Full Name | Icare Center Llc |
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Speciality | Clinic/Center |
Location | 21001 Se 29th St Unit 1, Harrah, Oklahoma |
Authorized Official Name and Position | Senthil K Raju (PROVIDER) |
Authorized Official Contact | 4053915526 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Icare Center Llc 21001 Se 29th St Harrah OK 73045-6591 Ph: () - | Icare Center Llc 21001 Se 29th St Unit 1 Harrah OK 73045-6577 Ph: (405) 391-5526 |
NPI Number | 1881190833 |
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Provider Enumeration Date | 03/30/2018 |
Last Update Date | 03/17/2022 |
Medicare PECOS PAC ID | 0840555777 |
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Medicare Enrollment ID | O20180524001890 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881190833 | NPI | - | NPPES |
Provider Name | Ricky G Swaim |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1972617231 PECOS PAC ID: 7517964596 Enrollment ID: I20080811000764 |
Provider Name | Senthil K Raju |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1922009075 PECOS PAC ID: 3779560719 Enrollment ID: I20090122000126 |
Provider Name | Rebecca K Poe |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851732036 PECOS PAC ID: 3577790252 Enrollment ID: I20131231000078 |
Provider Name | Gary R Burman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700851557 PECOS PAC ID: 4183682925 Enrollment ID: I20141104001947 |
Provider Name | Justin L Holbrook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740695774 PECOS PAC ID: 7618299553 Enrollment ID: I20141204001219 |
Provider Name | Pamela Migliaccio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689059610 PECOS PAC ID: 7719289719 Enrollment ID: I20160107002674 |
Provider Name | Robin Rae Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083071906 PECOS PAC ID: 5092012369 Enrollment ID: I20160331001434 |
Provider Name | Audrianna Sparks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20170926000549 |
Provider Name | Kasi C Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386169555 PECOS PAC ID: 3779859921 Enrollment ID: I20171016003403 |
Provider Name | Marcos Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902321607 PECOS PAC ID: 3274892559 Enrollment ID: I20180111002323 |
Provider Name | Samina Zafar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659853851 PECOS PAC ID: 3274887401 Enrollment ID: I20181107000267 |
Provider Name | Dustin James Wade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013323336 PECOS PAC ID: 2668718891 Enrollment ID: I20190109002012 |
Provider Name | Kendra Kay Gore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366001398 PECOS PAC ID: 2769713239 Enrollment ID: I20191015000391 |
Provider Name | Brittany E King |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053962472 PECOS PAC ID: 4789017740 Enrollment ID: I20191204002605 |
Provider Name | Pamela Marie Yarbrough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477199388 PECOS PAC ID: 8729417241 Enrollment ID: I20200406000017 |
Provider Name | John Scott Jordan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548733249 PECOS PAC ID: 1254766421 Enrollment ID: I20200619000814 |
Provider Name | Lee Sykes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811506389 PECOS PAC ID: 9436577509 Enrollment ID: I20200922002472 |
Provider Name | Stephanie Michelle Hammons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124648746 PECOS PAC ID: 6103245386 Enrollment ID: I20201008000430 |
Provider Name | Robin Lynn Shaver |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457983579 PECOS PAC ID: 0547697591 Enrollment ID: I20210119002537 |
Provider Name | Ronny Keith Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427673649 PECOS PAC ID: 7214343789 Enrollment ID: I20210308001746 |
Provider Name | Merideth Lea Yarbrough |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356959613 PECOS PAC ID: 0244646537 Enrollment ID: I20210311001142 |
Provider Name | Shannon Lee Dunn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972272490 PECOS PAC ID: 2668731720 Enrollment ID: I20211108000600 |
Provider Name | Sara Elizabeth Lacy-antonelli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235759291 PECOS PAC ID: 1355730136 Enrollment ID: I20211117000259 |
Provider Name | Tiffany Rightmire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417622747 PECOS PAC ID: 9436548989 Enrollment ID: I20211123000279 |
Provider Name | Sunnia Johns |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609480813 PECOS PAC ID: 0244625952 Enrollment ID: I20220316001132 |
Provider Name | Nicole Lynn Hughey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699445866 PECOS PAC ID: 1052706629 Enrollment ID: I20220317000515 |
Provider Name | Ryan Hightower |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225799935 PECOS PAC ID: 1052706645 Enrollment ID: I20220317001408 |
Provider Name | Cinda Dawn Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346909397 PECOS PAC ID: 1052707155 Enrollment ID: I20220329001290 |
Provider Name | Teeia Strout |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861097479 PECOS PAC ID: 3375947609 Enrollment ID: I20220426002453 |
Provider Name | Julie Patricia Fordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376288712 PECOS PAC ID: 4385024199 Enrollment ID: I20220711000110 |
Provider Name | Lindsay Jean Barron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891429882 PECOS PAC ID: 3072998707 Enrollment ID: I20220916001767 |
Provider Name | Jeanneth Alejandra Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023742541 PECOS PAC ID: 2062898489 Enrollment ID: I20221007000739 |
Provider Name | Alfred Dail James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548995293 PECOS PAC ID: 2466838800 Enrollment ID: I20221007001596 |
Provider Name | Brittany Rainey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295461820 PECOS PAC ID: 7214305630 Enrollment ID: I20221116001094 |
Provider Name | Janet Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598384554 PECOS PAC ID: 4385014182 Enrollment ID: I20230111001884 |
Provider Name | Candice Hamre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134833569 PECOS PAC ID: 2961877071 Enrollment ID: I20230403001818 |
Provider Name | Drew W Woodrow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730893884 PECOS PAC ID: 8426423823 Enrollment ID: I20230418000760 |
Provider Name | Katherine Denise Lynn Green |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295434512 PECOS PAC ID: 9436514809 Enrollment ID: I20230509000372 |
Provider Name | Urvashi Patel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366140592 PECOS PAC ID: 6507220290 Enrollment ID: I20230913004218 |
Provider Name | Michelle Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912546144 PECOS PAC ID: 8123475266 Enrollment ID: I20231109003862 |
Provider Name | Breanna Marie Wesselhoft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346020468 PECOS PAC ID: 5597115287 Enrollment ID: I20231220004112 |
Provider Name | Scott T Stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235899139 PECOS PAC ID: 7911346432 Enrollment ID: I20240417001447 |
Provider Name | Rebyl James |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841842812 PECOS PAC ID: 2466823125 Enrollment ID: I20240520003927 |
Mccammond Family Medicine Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20213 Ne 23rd St Ste B1, Harrah, OK 73045 Phone: 405-590-2032 | |
Mpg-family Care Center Of Harrah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20826 Main St, Harrah, OK 73045 Phone: 405-454-2404 Fax: 405-454-6372 | |
Ssm Health Harrah Ambulatory Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18961 Ne 23rd Street, Harrah, OK 73045 Phone: 405-772-4650 Fax: 405-772-4653 | |
Michael S Reed Jr Do Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2171 Community Pl, Harrah, OK 73045 Phone: 405-778-9598 | |
The Family Care Center Of Harrah, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20826 Main St, Harrah, OK 73045 Phone: 405-454-2404 Fax: 405-454-6372 | |
Lake Pointe Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 20912 Se 29th St, Harrah, OK 73045 Phone: 405-391-2970 Fax: 405-391-2972 |