| Mcbride Clinic Orthopedic Hospital, Llc | |
|
9600 Broadway Ext Oklahoma City OK 73114-7408 | |
| (405) 486-2100 | |
| (405) 486-2504 |
| Full Name | Mcbride Clinic Orthopedic Hospital, Llc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 9600 Broadway Ext, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Mark Galliart (CEO) |
| Authorized Official Contact | 4054862100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcbride Clinic Orthopedic Hospital, Llc 9600 Broadway Ext Oklahoma City OK 73114-7408 Ph: (405) 486-2100 | Mcbride Clinic Orthopedic Hospital, Llc 9600 Broadway Ext Oklahoma City OK 73114-7408 Ph: (405) 486-2100 |
| NPI Number | 1659413649 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 04/12/2024 |
| Medicare PECOS PAC ID | 3678514809 |
|---|---|
| Medicare Enrollment ID | O20051221000780 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659413649 | NPI | - | NPPES |
| Provider Name | Charles J Dunn |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467421586 PECOS PAC ID: 2466346200 Enrollment ID: I20040211001169 |
| Provider Name | Mark G Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255335287 PECOS PAC ID: 3375522311 Enrollment ID: I20040714001241 |
| Provider Name | Aron M Judkiewicz |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1467420745 PECOS PAC ID: 1658335849 Enrollment ID: I20041129000315 |
| Provider Name | Barbara J Barrett |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1215935358 PECOS PAC ID: 1456309756 Enrollment ID: I20050113000953 |
| Provider Name | Edie J Dyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902870702 PECOS PAC ID: 5092768358 Enrollment ID: I20050225000767 |
| Provider Name | Robert Gordon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1093701658 PECOS PAC ID: 4183677990 Enrollment ID: I20050322000628 |
| Provider Name | Dathan Duane Jay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629032214 PECOS PAC ID: 1052362498 Enrollment ID: I20050411000277 |
| Provider Name | German P Digoy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538121843 PECOS PAC ID: 5193756690 Enrollment ID: I20050824000828 |
| Provider Name | Deborah S Mason |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134193972 PECOS PAC ID: 1850320227 Enrollment ID: I20051025000613 |
| Provider Name | Sidonie R Bevier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003876889 PECOS PAC ID: 6002837135 Enrollment ID: I20051215000854 |
| Provider Name | Thomas C Howard |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1033117312 PECOS PAC ID: 4486566759 Enrollment ID: I20060103000293 |
| Provider Name | Paul Kammerlocher |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043218381 PECOS PAC ID: 3072554104 Enrollment ID: I20060124000299 |
| Provider Name | James Richard Barrett |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144297649 PECOS PAC ID: 1052325966 Enrollment ID: I20060131000323 |
| Provider Name | Dawna S Stapleton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073618914 PECOS PAC ID: 8224132345 Enrollment ID: I20070329000577 |
| Provider Name | David Saxton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972531903 PECOS PAC ID: 7113920109 Enrollment ID: I20070925000295 |
| Provider Name | James S Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770531329 PECOS PAC ID: 5092805531 Enrollment ID: I20071220000166 |
| Provider Name | Elaine A Boda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710005467 PECOS PAC ID: 1658461199 Enrollment ID: I20071220000216 |
| Provider Name | David E Ruhl |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457359283 PECOS PAC ID: 2264522721 Enrollment ID: I20071220000333 |
| Provider Name | Toby D Neff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386604478 PECOS PAC ID: 9234229790 Enrollment ID: I20071220000352 |
| Provider Name | Hollis A Price |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801894639 PECOS PAC ID: 5092805564 Enrollment ID: I20071220000400 |
| Provider Name | Tamara L Brinlee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265430268 PECOS PAC ID: 0446340913 Enrollment ID: I20071220000419 |
| Provider Name | Ronald M Dumigan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871685081 PECOS PAC ID: 4688648306 Enrollment ID: I20080331000259 |
| Provider Name | James D Mitchell |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902026909 PECOS PAC ID: 4486729233 Enrollment ID: I20090728000922 |
| Provider Name | Winston Fong |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548478696 PECOS PAC ID: 9739242223 Enrollment ID: I20090728000925 |
| Provider Name | Bradley J Margo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295874071 PECOS PAC ID: 1456404185 Enrollment ID: I20090728000928 |
| Provider Name | Larry Grant Willis |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1952309155 PECOS PAC ID: 2961443098 Enrollment ID: I20091104000606 |
| Provider Name | Robert Eugene Arthur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1275531519 PECOS PAC ID: 5294776423 Enrollment ID: I20091105000221 |
| Provider Name | Robert Mcarthur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1508864877 PECOS PAC ID: 9436190568 Enrollment ID: I20091119000142 |
| Provider Name | Warren Low |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568460806 PECOS PAC ID: 6103867338 Enrollment ID: I20091124000050 |
| Provider Name | Thomas Tkach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093713331 PECOS PAC ID: 6901847136 Enrollment ID: I20091203000205 |
| Provider Name | William B Edmonds |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770581506 PECOS PAC ID: 1658452255 Enrollment ID: I20091204000333 |
| Provider Name | Charles Harwood Funderburk |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1558369892 PECOS PAC ID: 9537100763 Enrollment ID: I20091204000560 |
| Provider Name | Mark Pascale |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265431019 PECOS PAC ID: 3971544008 Enrollment ID: I20091204000592 |
| Provider Name | Thomas Priestley Janssen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720086911 PECOS PAC ID: 4183665318 Enrollment ID: I20091204000601 |
| Provider Name | Gary Schick |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1932107273 PECOS PAC ID: 8426099557 Enrollment ID: I20091205000139 |
| Provider Name | Brock Schnebel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285632521 PECOS PAC ID: 3870534902 Enrollment ID: I20091207000501 |
| Provider Name | Donald Wray Mcginnis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1477551703 PECOS PAC ID: 0345281473 Enrollment ID: I20091207000656 |
| Provider Name | David Lee Holden |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801894159 PECOS PAC ID: 9537100664 Enrollment ID: I20091208000263 |
| Provider Name | Carlan Kent Yates |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679572416 PECOS PAC ID: 4688615719 Enrollment ID: I20091208000658 |
| Provider Name | Robert Augustine German |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841298189 PECOS PAC ID: 2264473495 Enrollment ID: I20091218000297 |
| Provider Name | Randel D Estep |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1073512711 PECOS PAC ID: 7214078344 Enrollment ID: I20100111000653 |
| Provider Name | Christie A Blankenship |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669438149 PECOS PAC ID: 8022106137 Enrollment ID: I20100621000843 |
| Provider Name | Myrth Mehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609101583 PECOS PAC ID: 9638201544 Enrollment ID: I20100712000711 |
| Provider Name | Heather D Hedrick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558675074 PECOS PAC ID: 9335335959 Enrollment ID: I20101122001097 |
| Provider Name | Bradley Lamprich |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1447443478 PECOS PAC ID: 4082879291 Enrollment ID: I20120712000615 |
| Provider Name | Benjamin I Panter |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1154527992 PECOS PAC ID: 2466618897 Enrollment ID: I20120730000216 |
| Provider Name | Barbara L Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831150051 PECOS PAC ID: 8325292873 Enrollment ID: I20130208000213 |
| Provider Name | Christopher Espinoza-ervin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1275732406 PECOS PAC ID: 9638304801 Enrollment ID: I20131023001675 |
| Provider Name | Blake Middleton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568703700 PECOS PAC ID: 6709006554 Enrollment ID: I20140930001902 |
| Provider Name | Justin L Holbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740695774 PECOS PAC ID: 7618299553 Enrollment ID: I20141204001219 |
| Provider Name | Jayson Chau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326457581 PECOS PAC ID: 7719200476 Enrollment ID: I20150105000517 |
| Provider Name | Ada Diann Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437553252 PECOS PAC ID: 6204151889 Enrollment ID: I20150203001625 |
| Provider Name | Michael Bowen Pickrell |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1346253325 PECOS PAC ID: 3375602725 Enrollment ID: I20150619001045 |
| Provider Name | Megan Leigh Meier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861788689 PECOS PAC ID: 8123332574 Enrollment ID: I20150730010650 |
| Provider Name | James Gregory |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912132390 PECOS PAC ID: 9931326824 Enrollment ID: I20150805009450 |
| Provider Name | Lance Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447485826 PECOS PAC ID: 5799092052 Enrollment ID: I20150918000537 |
| Provider Name | Austin Taylor |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902031388 PECOS PAC ID: 5799094710 Enrollment ID: I20151014001041 |
| Provider Name | Jeremy Robert Woodson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1457586836 PECOS PAC ID: 5597068197 Enrollment ID: I20160114000923 |
| Provider Name | David Alan Rush |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1396039434 PECOS PAC ID: 1951602267 Enrollment ID: I20160128002269 |
| Provider Name | Kayti Moxley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346650397 PECOS PAC ID: 4688892797 Enrollment ID: I20160512001164 |
| Provider Name | Christopher C Challis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447695531 PECOS PAC ID: 5991013849 Enrollment ID: I20170922002801 |
| Provider Name | Mary Jill Witchey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962521054 PECOS PAC ID: 4880954874 Enrollment ID: I20180213001434 |
| Provider Name | Charles David Wood |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1871608497 PECOS PAC ID: 8820073562 Enrollment ID: I20180518001539 |
| Provider Name | Mark C Shreve |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1043453103 PECOS PAC ID: 0042524027 Enrollment ID: I20180627001657 |
| Provider Name | Debra Mcgovern |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487843546 PECOS PAC ID: 6406197805 Enrollment ID: I20190412000331 |
| Provider Name | Jessica R. Swanson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013036623 PECOS PAC ID: 9739414244 Enrollment ID: I20190703002636 |
| Provider Name | Kevin Frank Wiley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912268921 PECOS PAC ID: 3375843972 Enrollment ID: I20190725000358 |
| Provider Name | Jennifer Ruse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770749558 PECOS PAC ID: 9537597505 Enrollment ID: I20200325002844 |
| Provider Name | Seth Michael Boydstun |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1598179111 PECOS PAC ID: 4789985045 Enrollment ID: I20200629002762 |
| Provider Name | Carly Diane Oltmanns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700494507 PECOS PAC ID: 3476970062 Enrollment ID: I20200827001457 |
| Provider Name | John D Stemm |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679652150 PECOS PAC ID: 5597163923 Enrollment ID: I20211014002625 |
| Provider Name | Christopher Kelly Tkach |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679929707 PECOS PAC ID: 7012203789 Enrollment ID: I20220830000824 |
| Provider Name | Andrea Rae Wolf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255024287 PECOS PAC ID: 7719349208 Enrollment ID: I20230815004061 |
Oklahoma Mental Health Council Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4420 N Lincoln Blvd, Oklahoma City, OK 73105 Phone: 405-424-7711 | |
American Current Care P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7100 S I-35 Service Road, Suite 7, Oklahoma City, OK 73149 Phone: 405-632-1002 Fax: 405-632-3131 | |
St Anthony Primary Care Physicians North Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 2020, Oklahoma City, OK 73118 Phone: 405-272-5433 Fax: 405-272-5435 | |
Oklahoma Pain & Rehab Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2149 Sw 59th St, Suite 201, Oklahoma City, OK 73119 Phone: 405-681-5800 | |
Board Of Regents Of The Univ Of Okla Ou Physicians Employer Spons Clin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 N Robinson Ave, Suite 200, Oklahoma City, OK 73102 Phone: 405-271-8880 Fax: 405-208-8732 | |
St Anthony North Urgent Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6201 N Santa Fe Ave, Suite 1010, Oklahoma City, OK 73118 Phone: 405-772-8687 Fax: 405-772-8688 | |
Barreto Health Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3418 Nw 135th St, Oklahoma City, OK 73120 Phone: 405-286-1075 Fax: 405-608-1075 |