| Core Clinical Partners | |
|
1120 S Utica Ave Tulsa OK 74104-4012 | |
| (918) 579-1000 | |
| Not Available |
| Full Name | Core Clinical Partners |
|---|---|
| Speciality | Internal Medicine |
| Location | 1120 S Utica Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Boykin Robinson (CEO) |
| Authorized Official Contact | 4045008147 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Clinical Partners 400 Galleria Pkwy Se Ste 1755 Atlanta GA 30339-5934 Ph: (404) 500-8147 | Core Clinical Partners 1120 S Utica Ave Tulsa OK 74104-4012 Ph: (918) 579-1000 |
| NPI Number | 1497417067 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 4183011026 |
|---|---|
| Medicare Enrollment ID | O20220425001394 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497417067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Gerald G Reed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093779993 PECOS PAC ID: 9638105901 Enrollment ID: I20050831000510 |
| Provider Name | Vallory J Tramonte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790826485 PECOS PAC ID: 5991801540 Enrollment ID: I20070428000071 |
| Provider Name | John Gemma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750791760 PECOS PAC ID: 4789954769 Enrollment ID: I20170725000354 |
| Provider Name | Daniel Scheurich |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659396539 PECOS PAC ID: 7810082724 Enrollment ID: I20191015002814 |
| Provider Name | Queen Erue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659955771 PECOS PAC ID: 1759780554 Enrollment ID: I20210527002032 |
| Provider Name | Asad Khan Mohmand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336349182 PECOS PAC ID: 2668543745 Enrollment ID: I20220427002294 |
| Provider Name | Aria Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154566412 PECOS PAC ID: 7517112683 Enrollment ID: I20220518002553 |
| Provider Name | Lysenia Mojica |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215256649 PECOS PAC ID: 0446577399 Enrollment ID: I20220526001122 |
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