| Morton Comprehensive Health Services, Inc | |
|
1334 N Lansing Ave Tulsa OK 74106-5907 | |
| (918) 587-2171 | |
| (918) 587-2171 |
| Full Name | Morton Comprehensive Health Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1334 N Lansing Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Lois Phillips (DIRECTOR QUALITY) |
| Authorized Official Contact | 9182956104 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Morton Comprehensive Health Services, Inc 1334 N Lansing Ave Tulsa OK 74106-5907 Ph: (918) 587-2171 | Morton Comprehensive Health Services, Inc 1334 N Lansing Ave Tulsa OK 74106-5907 Ph: (918) 587-2171 |
| NPI Number | 1275528085 |
|---|---|
| Provider Enumeration Date | 09/19/2005 |
| Last Update Date | 08/24/2023 |
| Medicare PECOS PAC ID | 1951297621 |
|---|---|
| Medicare Enrollment ID | O20040227000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275528085 | NPI | - | NPPES |
| WCDPG | Other | OK | MEDICARE |
| 100768880I | Medicaid | OK | |
| J23117858 | Medicaid | OK | |
| 1275528085 | Other | OK | NPI |
| Provider Name | Susan Mehnert-kay |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396717377 PECOS PAC ID: 8123920014 Enrollment ID: I20040122000096 |
| Provider Name | Ambreen Shakeel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750564613 PECOS PAC ID: 7618910936 Enrollment ID: I20080714000151 |
| Provider Name | Andrea Shotton |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184851255 PECOS PAC ID: 6204982069 Enrollment ID: I20090918000477 |
| Provider Name | Kyla M Lussier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205033446 PECOS PAC ID: 4688844764 Enrollment ID: I20110829000100 |
| Provider Name | Jenny Lu Johns |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487932992 PECOS PAC ID: 2860665510 Enrollment ID: I20111025000880 |
| Provider Name | Sha-rhonda M Morton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528202991 PECOS PAC ID: 8729236104 Enrollment ID: I20120910000121 |
| Provider Name | David Scheuerman |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1003220088 PECOS PAC ID: 5092094243 Enrollment ID: I20161111000652 |
| Provider Name | Jan Laverne Figart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629535174 PECOS PAC ID: 0042553463 Enrollment ID: I20190528000650 |
| Provider Name | Paula Jean Rowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326533324 PECOS PAC ID: 5496080129 Enrollment ID: I20190717001569 |
| Provider Name | Antonise Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326517731 PECOS PAC ID: 7214267855 Enrollment ID: I20190927000930 |
| Provider Name | Molly Ann Bart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420155 PECOS PAC ID: 1557795473 Enrollment ID: I20200102000552 |
| Provider Name | Alex Walker Button |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205485984 PECOS PAC ID: 5496180994 Enrollment ID: I20200110000037 |
| Provider Name | Martha Lievano-stanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750928974 PECOS PAC ID: 4183049638 Enrollment ID: I20200731000943 |
| Provider Name | Johnnie Keith Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922320183 PECOS PAC ID: 7810316734 Enrollment ID: I20200925002691 |
| Provider Name | Nicole Diane Slater |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689267585 PECOS PAC ID: 5193133833 Enrollment ID: I20210420000229 |
| Provider Name | Ezekiel Olufisayo Onigbinde |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861879926 PECOS PAC ID: 2668726415 Enrollment ID: I20211129001623 |
| Provider Name | Heather Nicole Mercer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104455765 PECOS PAC ID: 1557721958 Enrollment ID: I20230717003340 |
| Provider Name | Emily Ann Bolender |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861012247 PECOS PAC ID: 8123489135 Enrollment ID: I20230807001390 |
| Provider Name | Emily Denee Lau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902103906 PECOS PAC ID: 4981056678 Enrollment ID: I20240118001160 |
| Provider Name | Terri Lynn Frazee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386009587 PECOS PAC ID: 6507201209 Enrollment ID: I20240305000204 |
| Provider Name | Kaitlin Hays |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093056467 PECOS PAC ID: 2567807167 Enrollment ID: I20240305000701 |
| Provider Name | Victoria Lee Peters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326201062 PECOS PAC ID: 4486977097 Enrollment ID: I20240314001340 |
| Provider Name | Brenda Lee Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164472403 PECOS PAC ID: 8628415916 Enrollment ID: I20240321003994 |
| Provider Name | Ronnie Sue Culie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770854648 PECOS PAC ID: 7315384633 Enrollment ID: I20240322000683 |
| Provider Name | Isaac I Juarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326310897 PECOS PAC ID: 3476990292 Enrollment ID: I20240328000585 |
| Provider Name | Candace Deanne Tucker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427380443 PECOS PAC ID: 3779923743 Enrollment ID: I20240425000172 |
| Provider Name | Edna Ta Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366296311 PECOS PAC ID: 9537500137 Enrollment ID: I20240514002595 |
| Provider Name | Christine Marie Brungardt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063006575 PECOS PAC ID: 2062854235 Enrollment ID: I20240521000463 |
| Provider Name | Gaylen Murray |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457629362 PECOS PAC ID: 8527400936 Enrollment ID: I20240530000442 |
| Provider Name | Camron Jolliff |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861790396 PECOS PAC ID: 6406298751 Enrollment ID: I20240531002033 |
| Provider Name | Jennifer Janousek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306211578 PECOS PAC ID: 2264974559 Enrollment ID: I20240531003745 |
| Provider Name | Melissa Suzanne Winterscheid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780861799 PECOS PAC ID: 4284176587 Enrollment ID: I20240601000432 |
| Provider Name | Mary Elizabeth Jackson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659620268 PECOS PAC ID: 3476095787 Enrollment ID: I20240603000099 |
| Provider Name | Amy Elizabeth Siress |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013319425 PECOS PAC ID: 9436691755 Enrollment ID: I20240603000255 |
| Provider Name | Caleb Mhc Demarais |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265884340 PECOS PAC ID: 9931641008 Enrollment ID: I20240604002552 |
| Provider Name | Timothy L. Magie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598964025 PECOS PAC ID: 1254874621 Enrollment ID: I20240614000180 |
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