| Mcalester Medical Services, Llc | |
|
1 E Clark Bass Blvd Mcalester OK 74501-4209 | |
| (918) 421-6987 | |
| (918) 421-6698 |
| Full Name | Mcalester Medical Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 E Clark Bass Blvd, Mcalester, Oklahoma |
| Authorized Official Name and Position | David N Keith (CEO/PRESIDENT) |
| Authorized Official Contact | 9184261800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcalester Medical Services, Llc 1 E Clark Bass Blvd Mcalester OK 74501-4209 Ph: (918) 421-6987 | Mcalester Medical Services, Llc 1 E Clark Bass Blvd Mcalester OK 74501-4209 Ph: (918) 421-6987 |
| NPI Number | 1154317998 |
|---|---|
| Provider Enumeration Date | 09/27/2005 |
| Last Update Date | 04/29/2016 |
| Medicare PECOS PAC ID | 9931139029 |
|---|---|
| Medicare Enrollment ID | O20050818000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154317998 | NPI | - | NPPES |
| 200581850A | Medicaid | OK |
| Provider Name | Caleb H Harris |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972561827 PECOS PAC ID: 2769475391 Enrollment ID: I20040415001204 |
| Provider Name | Laura M Black-wicks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184607517 PECOS PAC ID: 7618964560 Enrollment ID: I20040430000637 |
| Provider Name | Thomas L Wicks |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1265413694 PECOS PAC ID: 0648256396 Enrollment ID: I20040624001664 |
| Provider Name | Oren F Miller |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1295757607 PECOS PAC ID: 2365419140 Enrollment ID: I20040911000290 |
| Provider Name | Jacqueline E Turnbull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205876455 PECOS PAC ID: 8628176708 Enrollment ID: I20070613000619 |
| Provider Name | Charles R Pritchard |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275654246 PECOS PAC ID: 4082705959 Enrollment ID: I20070807000239 |
| Provider Name | Derek L Norman |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1376683573 PECOS PAC ID: 3072686989 Enrollment ID: I20080724000523 |
| Provider Name | David R Allen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1154398410 PECOS PAC ID: 6002976594 Enrollment ID: I20081113000269 |
| Provider Name | Sean M Doyle |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679694822 PECOS PAC ID: 1951451715 Enrollment ID: I20090617000079 |
| Provider Name | Kevin J Gancarczyk |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1013983741 PECOS PAC ID: 1052464617 Enrollment ID: I20090729000337 |
| Provider Name | Patrick R Gannon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790747426 PECOS PAC ID: 2466453436 Enrollment ID: I20091218000413 |
| Provider Name | Misty Branam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962660688 PECOS PAC ID: 8527251644 Enrollment ID: I20101021000998 |
| Provider Name | Mario Topolko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801049523 PECOS PAC ID: 9133399306 Enrollment ID: I20110825000214 |
| Provider Name | Joshua Zachariah Vicena |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336347392 PECOS PAC ID: 4587820816 Enrollment ID: I20120731000672 |
| Provider Name | John V Tedesco |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1790951747 PECOS PAC ID: 2567516974 Enrollment ID: I20130115000192 |
| Provider Name | Muhammad K Ishaq |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1134449242 PECOS PAC ID: 4981847217 Enrollment ID: I20130905000264 |
| Provider Name | Shaun S. Grewal |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1972764496 PECOS PAC ID: 2365677168 Enrollment ID: I20131104000515 |
| Provider Name | James B Mcgeady |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1194921486 PECOS PAC ID: 1153585427 Enrollment ID: I20131204001607 |
| Provider Name | Victoria R Keeton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710245899 PECOS PAC ID: 6709004880 Enrollment ID: I20140903000688 |
| Provider Name | Yolette Louis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225316318 PECOS PAC ID: 6204070790 Enrollment ID: I20140904000711 |
| Provider Name | Joseph L Padalino |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1730322744 PECOS PAC ID: 2365570025 Enrollment ID: I20150325002326 |
| Provider Name | Kamron Torbati |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053608778 PECOS PAC ID: 1850610148 Enrollment ID: I20150508000377 |
| Provider Name | Kristina Smith |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760742282 PECOS PAC ID: 3375844962 Enrollment ID: I20151228001052 |
| Provider Name | Christopher Alan Hitchcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366988768 PECOS PAC ID: 3971886318 Enrollment ID: I20170210000062 |
| Provider Name | James O L'esperance |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922068105 PECOS PAC ID: 6507048071 Enrollment ID: I20170221001327 |
| Provider Name | Tiffani Starr Hicks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457885543 PECOS PAC ID: 2163790213 Enrollment ID: I20170614002205 |
| Provider Name | David Auld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881039055 PECOS PAC ID: 4587982350 Enrollment ID: I20171115002541 |
| Provider Name | Walter C Maxcey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265943476 PECOS PAC ID: 4880953892 Enrollment ID: I20180122000270 |
| Provider Name | Lori A Peters |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861735482 PECOS PAC ID: 7810250800 Enrollment ID: I20180404000242 |
| Provider Name | Jonathan P Rohloff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306200548 PECOS PAC ID: 5991039471 Enrollment ID: I20190703001501 |
| Provider Name | Sammie Lynn Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942781927 PECOS PAC ID: 3779819719 Enrollment ID: I20190729001352 |
| Provider Name | Kelly Renee Finnerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124582879 PECOS PAC ID: 7719214659 Enrollment ID: I20190814003613 |
| Provider Name | Kelsey Marie Flynn |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1558898866 PECOS PAC ID: 9133550841 Enrollment ID: I20200513002156 |
| Provider Name | Matthew John Graves |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1225487465 PECOS PAC ID: 2567735467 Enrollment ID: I20201112001696 |
| Provider Name | Rubin Chandran |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1972571024 PECOS PAC ID: 6709817679 Enrollment ID: I20210407000038 |
| Provider Name | Jimmy A Thomas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518288893 PECOS PAC ID: 0840503389 Enrollment ID: I20210524002070 |
| Provider Name | Miranda D Beeman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851896468 PECOS PAC ID: 4688925613 Enrollment ID: I20210830003435 |
| Provider Name | Abhijit Gundale |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1417435611 PECOS PAC ID: 8224426481 Enrollment ID: I20211021000943 |
| Provider Name | Rustin Chanc Walters |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1053381467 PECOS PAC ID: 6507004033 Enrollment ID: I20220517000219 |
| Provider Name | Cheyenne Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952031924 PECOS PAC ID: 0648648154 Enrollment ID: I20221114002959 |
| Provider Name | John Burke |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1235519935 PECOS PAC ID: 3476821539 Enrollment ID: I20230112000425 |
| Provider Name | Coleen Logan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265141261 PECOS PAC ID: 2668843624 Enrollment ID: I20230130002220 |
| Provider Name | Gregg T Podleski |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376596395 PECOS PAC ID: 7618968199 Enrollment ID: I20240213003275 |
Xpress Wellness Urgent Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 340 S George Nigh Expy, Mcalester, OK 74501 Phone: 918-420-9854 Fax: 918-420-9855 | |
Choctaw Nation Health Care System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 604 S 2nd St, Mcalester, OK 74501 Phone: 918-302-0052 Fax: 918-302-0082 | |
Dr. Dong Zhao, M.d., P.l.l.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 E Clark Bass Blvd, Suite 3, Mcalester, OK 74501 Phone: 918-421-6980 Fax: 918-421-6984 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4 E Clark Bass Blvd Ste 301, Mcalester, OK 74501 Phone: 918-561-8306 Fax: 918-561-5747 | |
Osu Center For Health Sciences Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 E Van Buren Ave, Mcalester, OK 74501 Phone: 918-561-8306 Fax: 918-561-5747 | |
Mcalester Regional Dialysis Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Clark Bass Blvd, Suite 101, Mcalester, OK 74501 Phone: 918-421-8373 Fax: 918-421-8668 | |
Choctaw Nation Health Clinic-mcalester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1127 S George Nigh Expy, Mcalester, OK 74501 Phone: 918-567-7000 Fax: 918-567-7041 |