| Oklahoma Hospital Medicine Physicians Llc | |
|
3300 Nw Expressway Oklahoma City OK 73112-4418 | |
| (404) 500-8147 | |
| Not Available |
| Full Name | Oklahoma Hospital Medicine Physicians Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3300 Nw Expressway, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Boykin Robinson (PRESIDENT) |
| Authorized Official Contact | 4045008147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oklahoma Hospital Medicine Physicians Llc 400 Galleria Pkwy Se Ste 1755 Atlanta GA 30339-5934 Ph: (404) 500-8147 | Oklahoma Hospital Medicine Physicians Llc 3300 Nw Expressway Oklahoma City OK 73112-4418 Ph: (404) 500-8147 |
| NPI Number | 1871113761 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 9830510023 |
|---|---|
| Medicare Enrollment ID | O20200526000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871113761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Geo Philips P Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700842440 PECOS PAC ID: 8921994690 Enrollment ID: I20040305000202 |
| Provider Name | Glen D Hyde |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912907056 PECOS PAC ID: 0749274520 Enrollment ID: I20040413001860 |
| Provider Name | Curtis Errol Ball |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619956943 PECOS PAC ID: 3375531767 Enrollment ID: I20040504001149 |
| Provider Name | Gary Dean Riggs |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1902821085 PECOS PAC ID: 2961491865 Enrollment ID: I20040506001590 |
| Provider Name | Long T Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811956006 PECOS PAC ID: 2163413543 Enrollment ID: I20040524000651 |
| Provider Name | Mark G Miles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255335287 PECOS PAC ID: 3375522311 Enrollment ID: I20040714001241 |
| Provider Name | Justin S Sparkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265487946 PECOS PAC ID: 0648221168 Enrollment ID: I20050202000322 |
| Provider Name | Ashraf R Mihanni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386630770 PECOS PAC ID: 9638128796 Enrollment ID: I20050221000708 |
| Provider Name | Muhammad Ghias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124088661 PECOS PAC ID: 1052336039 Enrollment ID: I20051130000014 |
| Provider Name | Nicole Cossaart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821048851 PECOS PAC ID: 2567484025 Enrollment ID: I20060116000121 |
| Provider Name | Rakesh Prasad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487639746 PECOS PAC ID: 7618927104 Enrollment ID: I20061229000221 |
| Provider Name | Karen K Swisher |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1528176955 PECOS PAC ID: 2466454210 Enrollment ID: I20070207000316 |
| Provider Name | Susan V Mathew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487726493 PECOS PAC ID: 8325126634 Enrollment ID: I20080425000490 |
| Provider Name | Andrew F Barsaloux |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1770670150 PECOS PAC ID: 5294808796 Enrollment ID: I20080716000547 |
| Provider Name | Ralph Shadid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922091511 PECOS PAC ID: 3476548827 Enrollment ID: I20080811000469 |
| Provider Name | Ali Mohammad |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447215355 PECOS PAC ID: 3678658721 Enrollment ID: I20090709000555 |
| Provider Name | Paul K Fuhrmeister |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811189194 PECOS PAC ID: 9638065709 Enrollment ID: I20090728000107 |
| Provider Name | Srikanth Nallacheru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316117328 PECOS PAC ID: 0143397943 Enrollment ID: I20100115000152 |
| Provider Name | Tammy Vermeulen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598095143 PECOS PAC ID: 2860528858 Enrollment ID: I20100330000008 |
| Provider Name | Barbara G Stephen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376869859 PECOS PAC ID: 5193854081 Enrollment ID: I20100602000990 |
| Provider Name | Vicki M Mcculloch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952639742 PECOS PAC ID: 8325179815 Enrollment ID: I20100628000357 |
| Provider Name | Adrian Alexandru Scaunasu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144544594 PECOS PAC ID: 1557486313 Enrollment ID: I20100916000637 |
| Provider Name | Elizabeth R Kinzie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760450472 PECOS PAC ID: 2365636354 Enrollment ID: I20101103001173 |
| Provider Name | Kashif Mahmood |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710299623 PECOS PAC ID: 6204020175 Enrollment ID: I20101104000727 |
| Provider Name | Samuel J Ratermann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831394071 PECOS PAC ID: 8224106505 Enrollment ID: I20110321000178 |
| Provider Name | Jason A Mcelyea |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164755872 PECOS PAC ID: 4587848122 Enrollment ID: I20110406000551 |
| Provider Name | Carolyn J Pimsler |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588753826 PECOS PAC ID: 1850576026 Enrollment ID: I20110503000641 |
| Provider Name | Nicole Ayanna Williamson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518136183 PECOS PAC ID: 5597934380 Enrollment ID: I20110811000860 |
| Provider Name | Siddhartha Rangineni |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780817700 PECOS PAC ID: 1759551633 Enrollment ID: I20110901000234 |
| Provider Name | Jack D Butler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316925449 PECOS PAC ID: 0446420236 Enrollment ID: I20110906000298 |
| Provider Name | Abdul R Ftesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720230410 PECOS PAC ID: 1456522010 Enrollment ID: I20110913000091 |
| Provider Name | Brent C Mcanulty |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023201720 PECOS PAC ID: 6709057177 Enrollment ID: I20110914000636 |
| Provider Name | Kanwardeep Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477713378 PECOS PAC ID: 1658542808 Enrollment ID: I20110919000691 |
| Provider Name | Mahdi A Mussa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821229089 PECOS PAC ID: 2264618842 Enrollment ID: I20110922000478 |
| Provider Name | Jeannette Kelley |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053632042 PECOS PAC ID: 9032380084 Enrollment ID: I20110922000522 |
| Provider Name | Jennifer G Lamb |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851693683 PECOS PAC ID: 9032383435 Enrollment ID: I20111121000918 |
| Provider Name | Kishore Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265626832 PECOS PAC ID: 1951575216 Enrollment ID: I20111122000852 |
| Provider Name | Darlene Nooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144588583 PECOS PAC ID: 6204082308 Enrollment ID: I20120806000391 |
| Provider Name | Kyle J Schauf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265662092 PECOS PAC ID: 9830346030 Enrollment ID: I20120822000786 |
| Provider Name | Thomas Clark |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699793273 PECOS PAC ID: 3678720828 Enrollment ID: I20120823000572 |
| Provider Name | Mobolaji O Olulade |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093976557 PECOS PAC ID: 9739350158 Enrollment ID: I20120905000147 |
| Provider Name | Luz H Tono |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1417182809 PECOS PAC ID: 9133377005 Enrollment ID: I20120918000762 |
| Provider Name | Shehzad Bandhani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1295005072 PECOS PAC ID: 1557519279 Enrollment ID: I20120920000753 |
| Provider Name | Charles M Rogers |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932158342 PECOS PAC ID: 6800897273 Enrollment ID: I20130614000454 |
| Provider Name | Gerald English |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205157989 PECOS PAC ID: 8527217611 Enrollment ID: I20130820000855 |
| Provider Name | Teney V John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932429131 PECOS PAC ID: 6608010574 Enrollment ID: I20130913000683 |
| Provider Name | Luke R Leming |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023378924 PECOS PAC ID: 4082855952 Enrollment ID: I20130920000491 |
| Provider Name | Samar A Farghaly |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124027206 PECOS PAC ID: 2163310970 Enrollment ID: I20131127001183 |
| Provider Name | Alex Dwuma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417275041 PECOS PAC ID: 5698926111 Enrollment ID: I20131217000808 |
| Provider Name | Best Chen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982920708 PECOS PAC ID: 9638310139 Enrollment ID: I20140129000280 |
| Provider Name | Bradley J Martin |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1306960778 PECOS PAC ID: 3173753985 Enrollment ID: I20140222000263 |
| Provider Name | Stanley W Tallon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114354727 PECOS PAC ID: 6204067523 Enrollment ID: I20140328001506 |
| Provider Name | Lindsey Dodson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508101783 PECOS PAC ID: 3274759527 Enrollment ID: I20140723001637 |
| Provider Name | Crystal Jones-gandy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497182802 PECOS PAC ID: 5991924789 Enrollment ID: I20140909001813 |
| Provider Name | Hariprasad S Trivedi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174574834 PECOS PAC ID: 7719941491 Enrollment ID: I20140929002212 |
| Provider Name | Muhammad Ajmal A Panezai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982954442 PECOS PAC ID: 6204057219 Enrollment ID: I20141016000594 |
| Provider Name | Stanley C Shadid |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386904183 PECOS PAC ID: 2860614765 Enrollment ID: I20141110000500 |
| Provider Name | Haitham Elbhloul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619265337 PECOS PAC ID: 0941422471 Enrollment ID: I20141117000991 |
| Provider Name | Srinivas Katta |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1841428752 PECOS PAC ID: 4385878412 Enrollment ID: I20150112000114 |
| Provider Name | Shane Biedermann |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700049426 PECOS PAC ID: 9032368097 Enrollment ID: I20150121002308 |
| Provider Name | Fidelis Ajobome Okotie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376856039 PECOS PAC ID: 0547384794 Enrollment ID: I20150413001070 |
| Provider Name | Shiedeh Khodadadian |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1972882934 PECOS PAC ID: 0941529739 Enrollment ID: I20150429000286 |
| Provider Name | Emenike Uba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316298979 PECOS PAC ID: 0143531756 Enrollment ID: I20150624000502 |
| Provider Name | Ryan Morgan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033454616 PECOS PAC ID: 9133431349 Enrollment ID: I20150701000188 |
| Provider Name | Krystina L Cadenhead |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1477813178 PECOS PAC ID: 4587887484 Enrollment ID: I20150720000594 |
| Provider Name | Abdulmawla Albirini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760463251 PECOS PAC ID: 9537055389 Enrollment ID: I20150729009920 |
| Provider Name | Justin Lee Mitchell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255715686 PECOS PAC ID: 4486962636 Enrollment ID: I20151007002681 |
| Provider Name | Sharla Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821481789 PECOS PAC ID: 4183933914 Enrollment ID: I20151019001496 |
| Provider Name | Zubair Ashraf |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1366747149 PECOS PAC ID: 9436393642 Enrollment ID: I20151020002790 |
| Provider Name | Melissa L. Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551565 PECOS PAC ID: 2769785740 Enrollment ID: I20160126000211 |
| Provider Name | Bel Maya Ghale |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598105629 PECOS PAC ID: 2365744190 Enrollment ID: I20160609001991 |
| Provider Name | Matthew Kallenberger |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1427493436 PECOS PAC ID: 0244522910 Enrollment ID: I20160718000804 |
| Provider Name | Jimmy Bui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649653833 PECOS PAC ID: 4981909462 Enrollment ID: I20160809000605 |
| Provider Name | Iftikhar A Ch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497908198 PECOS PAC ID: 0648420869 Enrollment ID: I20160819002170 |
| Provider Name | Paragkumar Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316288517 PECOS PAC ID: 1557662111 Enrollment ID: I20160822002320 |
| Provider Name | Magesh Sathaiah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285996157 PECOS PAC ID: 6800105412 Enrollment ID: I20161114001897 |
| Provider Name | Michelle R Stephens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174975023 PECOS PAC ID: 2860772894 Enrollment ID: I20161209000812 |
| Provider Name | Ayesha Mughal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811243009 PECOS PAC ID: 2365663325 Enrollment ID: I20170123002465 |
| Provider Name | Lesley Lynn Duffie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851650014 PECOS PAC ID: 4385960996 Enrollment ID: I20170127000694 |
| Provider Name | Nancy Ellyn Rolfe |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215958939 PECOS PAC ID: 4385738251 Enrollment ID: I20170621001195 |
| Provider Name | Tyler Jones |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205255395 PECOS PAC ID: 5496059958 Enrollment ID: I20170627001620 |
| Provider Name | Maysam Behzad-noori |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1306194287 PECOS PAC ID: 2668780867 Enrollment ID: I20170725004006 |
| Provider Name | Adil Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255747986 PECOS PAC ID: 2163649922 Enrollment ID: I20170816000064 |
| Provider Name | Nazir Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982015962 PECOS PAC ID: 8921370370 Enrollment ID: I20170818001773 |
| Provider Name | Audrianna Sparks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20170926000549 |
| Provider Name | Asha Ajesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326581034 PECOS PAC ID: 3072870450 Enrollment ID: I20171121000749 |
| Provider Name | Justin Nalagan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033402383 PECOS PAC ID: 9830450345 Enrollment ID: I20180226000908 |
| Provider Name | Raul D Lastimosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205244092 PECOS PAC ID: 5597031021 Enrollment ID: I20180403001696 |
| Provider Name | Katherine A Mansalis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1255589941 PECOS PAC ID: 4486897766 Enrollment ID: I20180411001297 |
| Provider Name | Ahmad Kaako |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679798995 PECOS PAC ID: 7416142302 Enrollment ID: I20180710001626 |
| Provider Name | Miriam C Canales |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679954564 PECOS PAC ID: 0648584789 Enrollment ID: I20180829002853 |
| Provider Name | Ravi D Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558744037 PECOS PAC ID: 1254681679 Enrollment ID: I20180906000557 |
| Provider Name | Tariq Asadullah Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396804662 PECOS PAC ID: 3870662182 Enrollment ID: I20181010000903 |
| Provider Name | Tammie A Lockhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467938258 PECOS PAC ID: 0244583755 Enrollment ID: I20181031001028 |
| Provider Name | Braxton Lane Nottingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821528480 PECOS PAC ID: 2668745399 Enrollment ID: I20181117000269 |
| Provider Name | Betro Tawfik Alfy Sadek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215279203 PECOS PAC ID: 4385938208 Enrollment ID: I20190117002426 |
| Provider Name | Brindha Gopala Krishnan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407208804 PECOS PAC ID: 1052645140 Enrollment ID: I20190624001808 |
| Provider Name | Jared Pembrook |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659735710 PECOS PAC ID: 5890021901 Enrollment ID: I20190727000225 |
| Provider Name | Sidney Le |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356795660 PECOS PAC ID: 6406137231 Enrollment ID: I20190729000187 |
| Provider Name | Lakshmi Kolli |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508111469 PECOS PAC ID: 8224339619 Enrollment ID: I20190729001585 |
| Provider Name | Taiwo B Adedipe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407207806 PECOS PAC ID: 2466780481 Enrollment ID: I20190828002445 |
| Provider Name | Ese Isiuwa Akinyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770961468 PECOS PAC ID: 9537450945 Enrollment ID: I20190831000098 |
| Provider Name | Samiya Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265896161 PECOS PAC ID: 5395026256 Enrollment ID: I20190903000925 |
| Provider Name | Areeb Bangash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710361506 PECOS PAC ID: 7012246754 Enrollment ID: I20190905003200 |
| Provider Name | Chris Long Nguyen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124478516 PECOS PAC ID: 9133498785 Enrollment ID: I20190918001740 |
| Provider Name | Kwame B Agyeman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285863753 PECOS PAC ID: 1052452992 Enrollment ID: I20191010000183 |
| Provider Name | Emma Zheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861971699 PECOS PAC ID: 0244662427 Enrollment ID: I20191108000165 |
| Provider Name | Shaila Shanchita |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780065342 PECOS PAC ID: 0749536472 Enrollment ID: I20191122001548 |
| Provider Name | Sheena Margariet Musgrove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528539541 PECOS PAC ID: 4385077668 Enrollment ID: I20191126002603 |
| Provider Name | Ashley Elizabeth Hammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033626643 PECOS PAC ID: 6103187729 Enrollment ID: I20191204002119 |
| Provider Name | Yuan Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497002869 PECOS PAC ID: 7113237967 Enrollment ID: I20191211002720 |
| Provider Name | Krystabel Annette Snodgrass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851942783 PECOS PAC ID: 5092149229 Enrollment ID: I20191223000315 |
| Provider Name | Trung Tran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972857878 PECOS PAC ID: 4587974373 Enrollment ID: I20200114001067 |
| Provider Name | Kaleb D Redick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396382883 PECOS PAC ID: 6709212038 Enrollment ID: I20200205002374 |
| Provider Name | Patrick Neff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073053468 PECOS PAC ID: 4486078847 Enrollment ID: I20200720001072 |
| Provider Name | Matthew J Lipinski |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649701491 PECOS PAC ID: 4981029519 Enrollment ID: I20200730000352 |
| Provider Name | Jesintha Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003343229 PECOS PAC ID: 8628493079 Enrollment ID: I20200803001976 |
| Provider Name | Joseph Lin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679000681 PECOS PAC ID: 9032534177 Enrollment ID: I20200806000098 |
| Provider Name | Sarosh Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174992333 PECOS PAC ID: 3072939859 Enrollment ID: I20200812000128 |
| Provider Name | Muhammad Zeeshan Siddiqui |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710331442 PECOS PAC ID: 2961774195 Enrollment ID: I20200812003126 |
| Provider Name | Rejoy Kurien |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164963930 PECOS PAC ID: 1052737640 Enrollment ID: I20200813000528 |
| Provider Name | Kristen Buzzard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972031961 PECOS PAC ID: 7911324900 Enrollment ID: I20200908000790 |
| Provider Name | Jessica C Frazier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528559549 PECOS PAC ID: 3870912462 Enrollment ID: I20201001000255 |
| Provider Name | Christina J Erford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992310882 PECOS PAC ID: 5698195741 Enrollment ID: I20201012001915 |
| Provider Name | Ronald Lotoc |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1275078354 PECOS PAC ID: 6406120229 Enrollment ID: I20201125002262 |
| Provider Name | Usman Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1104379239 PECOS PAC ID: 4082023379 Enrollment ID: I20210518001509 |
| Provider Name | Vedmia L Fonkem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801383005 PECOS PAC ID: 9436564101 Enrollment ID: I20210526002096 |
| Provider Name | Fnu Rabel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750863148 PECOS PAC ID: 2567792856 Enrollment ID: I20210527001461 |
| Provider Name | Heyyan Bin Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952897787 PECOS PAC ID: 4183954415 Enrollment ID: I20210528001575 |
| Provider Name | Ashley Thomas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1942798343 PECOS PAC ID: 1153676820 Enrollment ID: I20210624000524 |
| Provider Name | Wesley Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346778669 PECOS PAC ID: 5496085672 Enrollment ID: I20210624002917 |
| Provider Name | Comfort Olufunke Adeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720597974 PECOS PAC ID: 6305248717 Enrollment ID: I20210708000046 |
| Provider Name | Patrick D Hensley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770946287 PECOS PAC ID: 4587958012 Enrollment ID: I20210812001070 |
| Provider Name | Lauren A Dankwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518591122 PECOS PAC ID: 7618372368 Enrollment ID: I20210819000332 |
| Provider Name | Majd Kanaa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982150900 PECOS PAC ID: 2466857503 Enrollment ID: I20210826003442 |
| Provider Name | Denise S Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730677741 PECOS PAC ID: 4183057136 Enrollment ID: I20210901000423 |
| Provider Name | Muhammad Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356725105 PECOS PAC ID: 0648676445 Enrollment ID: I20210902000390 |
| Provider Name | Savannah Leigh Coote |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750946521 PECOS PAC ID: 5890193437 Enrollment ID: I20211012000947 |
| Provider Name | Ahmadreza Mirmiran |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376980078 PECOS PAC ID: 0941588958 Enrollment ID: I20211103002641 |
| Provider Name | Robert Eli Rhoades |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578122479 PECOS PAC ID: 2668707860 Enrollment ID: I20211115001211 |
| Provider Name | Olayemi Bolarinwa |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376006460 PECOS PAC ID: 9638569700 Enrollment ID: I20211203000425 |
| Provider Name | Jeremy Scheidt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669960191 PECOS PAC ID: 4183028244 Enrollment ID: I20220110000597 |
| Provider Name | Bindu Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679950075 PECOS PAC ID: 3779830625 Enrollment ID: I20220223000865 |
| Provider Name | Toby M Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952960213 PECOS PAC ID: 7517395999 Enrollment ID: I20220228000946 |
| Provider Name | Moeez Qureshi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336707538 PECOS PAC ID: 0547648552 Enrollment ID: I20220603000723 |
| Provider Name | Amber M Pena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720016074 PECOS PAC ID: 6507809134 Enrollment ID: I20220614000212 |
| Provider Name | Abhilash Makkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750603270 PECOS PAC ID: 1254463961 Enrollment ID: I20220630000754 |
| Provider Name | Chidozie Odigwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447611579 PECOS PAC ID: 6507157856 Enrollment ID: I20220721003752 |
| Provider Name | Muhammad Rizwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750886040 PECOS PAC ID: 7113322090 Enrollment ID: I20220804002901 |
| Provider Name | Cedric Emden Davis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356534994 PECOS PAC ID: 9931243128 Enrollment ID: I20220818000176 |
| Provider Name | Syed Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366004160 PECOS PAC ID: 5294118436 Enrollment ID: I20220819002645 |
| Provider Name | Aileen Aguilar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205396405 PECOS PAC ID: 0446636252 Enrollment ID: I20221003000652 |
| Provider Name | Mashala Temas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336632686 PECOS PAC ID: 0446509624 Enrollment ID: I20221028000576 |
| Provider Name | Ahmed Aziz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063022549 PECOS PAC ID: 5395104269 Enrollment ID: I20230710003738 |
| Provider Name | Mehmood Ahmed Shoukat Cheema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245867779 PECOS PAC ID: 5496100851 Enrollment ID: I20231005000632 |
| Provider Name | Hector David Gallego |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568720779 PECOS PAC ID: 1759601842 Enrollment ID: I20240226001277 |
| Provider Name | Vivian Nchinda Kenmoe |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265694921 PECOS PAC ID: 2668648387 Enrollment ID: I20240307003524 |
| Provider Name | Ifeoma Chinedu Chinedu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073364311 PECOS PAC ID: 6002258894 Enrollment ID: I20240524000907 |
| Provider Name | Daniel K Mujuni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457931545 PECOS PAC ID: 9931562659 Enrollment ID: I20240528003162 |
| Provider Name | Tahir M Maya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558653576 PECOS PAC ID: 7012142615 Enrollment ID: I20240608000180 |
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 |