| Mercy Hospital Ardmore, Inc | |
|
1101 14th Ave Nw Ardmore OK 73401-1830 | |
| (580) 223-5400 | |
| (580) 220-6438 |
| Full Name | Mercy Hospital Ardmore, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1101 14th Ave Nw, Ardmore, Oklahoma |
| Authorized Official Name and Position | Morris Brown (EXECUTIVE DIRECTOR FINANCE) |
| Authorized Official Contact | 5802206238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mercy Hospital Ardmore, Inc 1101 14th Ave Nw Ardmore OK 73401-1830 Ph: (580) 223-5400 | Mercy Hospital Ardmore, Inc 1101 14th Ave Nw Ardmore OK 73401-1830 Ph: (580) 223-5400 |
| NPI Number | 1578906657 |
|---|---|
| Provider Enumeration Date | 04/09/2013 |
| Last Update Date | 09/23/2021 |
| Medicare PECOS PAC ID | 8123011277 |
|---|---|
| Medicare Enrollment ID | O20100716000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578906657 | NPI | - | NPPES |
| Provider Name | Robert A Benson |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1962442954 PECOS PAC ID: 3577454560 Enrollment ID: I20040320000727 |
| Provider Name | Brian M Shockey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366404105 PECOS PAC ID: 2264413533 Enrollment ID: I20040525000526 |
| Provider Name | Yunus A Moosa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548280464 PECOS PAC ID: 3072591494 Enrollment ID: I20040712001233 |
| Provider Name | Derek Howard |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1790880219 PECOS PAC ID: 2668488057 Enrollment ID: I20060222000403 |
| Provider Name | Wei Zhang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093829889 PECOS PAC ID: 9830194794 Enrollment ID: I20060927000286 |
| Provider Name | Mark E Dickson |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1134108715 PECOS PAC ID: 9739187170 Enrollment ID: I20061120000426 |
| Provider Name | Ruben L Sunga |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1972699627 PECOS PAC ID: 9638135304 Enrollment ID: I20070724000598 |
| Provider Name | Deena Wise |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1982683488 PECOS PAC ID: 7517031115 Enrollment ID: I20080730000687 |
| Provider Name | Sanjay K Narotam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1306966007 PECOS PAC ID: 3971676750 Enrollment ID: I20090610000272 |
| Provider Name | Mark R Moses |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144228057 PECOS PAC ID: 9335237585 Enrollment ID: I20091119000644 |
| Provider Name | Cristina L Guerra |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417930041 PECOS PAC ID: 3779515523 Enrollment ID: I20091203000327 |
| Provider Name | Timothy C Hoekstra |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902862600 PECOS PAC ID: 0244295707 Enrollment ID: I20110505000278 |
| Provider Name | Samuel Bieligk |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982618112 PECOS PAC ID: 2567423999 Enrollment ID: I20111122000435 |
| Provider Name | Burt Bromberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124135454 PECOS PAC ID: 3476593047 Enrollment ID: I20140916000734 |
| Provider Name | Hokehe E Effiong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811208945 PECOS PAC ID: 9032431499 Enrollment ID: I20141215000593 |
| Provider Name | Christopher H May |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699942482 PECOS PAC ID: 2668606229 Enrollment ID: I20141230000414 |
| Provider Name | Michael Padilla |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043416787 PECOS PAC ID: 1658592480 Enrollment ID: I20150827002877 |
| Provider Name | Chance Nolan Cruson |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1982998225 PECOS PAC ID: 0143539064 Enrollment ID: I20151015002031 |
| Provider Name | Vishal Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912317256 PECOS PAC ID: 4880965664 Enrollment ID: I20170814000623 |
| Provider Name | Khairuddin Memon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1699037689 PECOS PAC ID: 8921363227 Enrollment ID: I20180606003069 |
| Provider Name | Tangra Broge |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851689517 PECOS PAC ID: 6204146020 Enrollment ID: I20200422000164 |
| Provider Name | Lorinda G Sipe |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1205974805 PECOS PAC ID: 1456765338 Enrollment ID: I20210219001532 |
| Provider Name | Hunter Rhodes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396159828 PECOS PAC ID: 2860612520 Enrollment ID: I20210830002004 |
| Provider Name | William Moore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134173800 PECOS PAC ID: 6103820097 Enrollment ID: I20221005003507 |
| Provider Name | Eric W Porritt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386874436 PECOS PAC ID: 5991929465 Enrollment ID: I20230109001294 |
| Provider Name | Lori L Mcneal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952350001 PECOS PAC ID: 7012976913 Enrollment ID: I20230125001858 |
| Provider Name | David Timothy Beihl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1346656667 PECOS PAC ID: 7517205313 Enrollment ID: I20230607001321 |
| Provider Name | Daniel J Growney |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659367936 PECOS PAC ID: 1355232166 Enrollment ID: I20240506004416 |
| Provider Name | Warrett Kennard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760433395 PECOS PAC ID: 0648177063 Enrollment ID: I20240531002056 |
Mercy Health Services-southern Region, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 15th Ave Nw, Ardmore, OK 73401 Phone: 580-223-3737 Fax: 580-226-5679 | |
Wilson Loughridge Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 15th Ave Nw, Ardmore, OK 73401 Phone: 580-226-1010 Fax: 580-226-1011 | |
Alexander P Gurrola Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 12th Ave Nw, Ardmore, OK 73401 Phone: 580-226-6500 Fax: 580-226-6524 | |
Texoma Collaborative Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1005 15th Ave Nw, Ardmore, OK 73401 Phone: 580-798-5015 | |
Schafer Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 800 Isabel St, Ardmore, OK 73401 Phone: 580-223-5432 Fax: 580-223-6076 | |
Dot Ardmore Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 S Commerce St, Ardmore, OK 73401 Phone: 580-490-9414 Fax: 580-490-9067 | |
Doctors Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 800 Isabel, Ardmore, OK 73401 Phone: 580-223-5432 |