Okky Oei Md Plc | |
2801 N 33rd Ave Ste 200 Phoenix AZ 85009-1445 | |
(602) 415-1111 | |
(602) 415-1417 |
Full Name | Okky Oei Md Plc |
---|---|
Speciality | Pain Medicine |
Location | 2801 N 33rd Ave Ste 200, Phoenix, Arizona |
Authorized Official Name and Position | Kirsten A Sorensen (ADMINISTRATOR) |
Authorized Official Contact | 6024311152 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Okky Oei Md Plc Po Box 52022 Phoenix AZ 85072-2022 Ph: (602) 431-1152 | Okky Oei Md Plc 2801 N 33rd Ave Ste 200 Phoenix AZ 85009-1445 Ph: (602) 415-1111 |
NPI Number | 1679001168 |
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Provider Enumeration Date | 05/26/2017 |
Last Update Date | 05/26/2017 |
Medicare PECOS PAC ID | 5294006623 |
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Medicare Enrollment ID | O20170803002178 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679001168 | NPI | - | NPPES |
13583 | Other | AZ | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 13583 (Arizona) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 13583 (Arizona) | Primary |
Provider Name | Lorilynn S Hatcher |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558524645 PECOS PAC ID: 0244306124 Enrollment ID: I20080828000322 |
Provider Name | Okky Oei |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1306012901 PECOS PAC ID: 0042234148 Enrollment ID: I20170829003474 |
Provider Name | Martha C Abruzzese |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831441575 PECOS PAC ID: 0143452631 Enrollment ID: I20171003007776 |
Provider Name | Flor M Solis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205392511 PECOS PAC ID: 3577893858 Enrollment ID: I20190930002056 |
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