| Muskogee Medical Care Pllc | |
|
2900 N Main St Muskogee OK 74401-4078 | |
| (918) 492-6333 | |
| (918) 493-9405 |
| Full Name | Muskogee Medical Care Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2900 N Main St, Muskogee, Oklahoma |
| Authorized Official Name and Position | Azhar Shakeel (PHYSICIAN/OWNER) |
| Authorized Official Contact | 9184926333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muskogee Medical Care Pllc Po Box 26168 Oklahoma City OK 73126-0168 Ph: (918) 492-6333 | Muskogee Medical Care Pllc 2900 N Main St Muskogee OK 74401-4078 Ph: (918) 492-6333 |
| NPI Number | 1629368105 |
|---|---|
| Provider Enumeration Date | 04/18/2011 |
| Last Update Date | 06/06/2011 |
| Medicare PECOS PAC ID | 8628247012 |
|---|---|
| Medicare Enrollment ID | O20110801000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629368105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25016 (Oklahoma) | Primary |
| Provider Name | Azhar Shakeel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114124674 PECOS PAC ID: 6305996885 Enrollment ID: I20090603000392 |
| Provider Name | Kristie Mae Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467860585 PECOS PAC ID: 3375865728 Enrollment ID: I20150217000805 |
| Provider Name | Jessica Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427525880 PECOS PAC ID: 4981946514 Enrollment ID: I20190501002467 |
| Provider Name | Tyler Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013491141 PECOS PAC ID: 3072942283 Enrollment ID: I20200408003245 |
| Provider Name | Susan Elaine Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003450628 PECOS PAC ID: 6608206974 Enrollment ID: I20200429001088 |
| Provider Name | James D Commander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942879002 PECOS PAC ID: 8527355247 Enrollment ID: I20210629001719 |
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