Pawnee Indian Health Center | |
1201 Heritage Cir Pawnee OK 74058-3744 | |
(918) 762-6638 | |
Not Available |
Full Name | Pawnee Indian Health Center |
---|---|
Speciality | Clinic/Center |
Location | 1201 Heritage Cir, Pawnee, Oklahoma |
Authorized Official Name and Position | George Valliere (CEO) |
Authorized Official Contact | 9187626625 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Pawnee Indian Health Center 1201 Heritage Cir Pawnee OK 74058-3744 Ph: () - | Pawnee Indian Health Center 1201 Heritage Cir Pawnee OK 74058-3744 Ph: (918) 762-6638 |
NPI Number | 1629174081 |
---|---|
Provider Enumeration Date | 09/15/2006 |
Last Update Date | 01/30/2008 |
Medicare PECOS PAC ID | 2769470160 |
---|---|
Medicare Enrollment ID | O20040504001225 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629174081 | NPI | - | NPPES |
100689220C | Medicaid | OK | |
100231960E | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Linda M Cummings |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366427619 PECOS PAC ID: 4688662281 Enrollment ID: I20040503001495 |
Provider Name | Stephen Fransen |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1750358107 PECOS PAC ID: 3971576935 Enrollment ID: I20040817001200 |
Provider Name | David Lynn Doss |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1598751778 PECOS PAC ID: 3072568708 Enrollment ID: I20050316000174 |
Provider Name | Kellie R Bryant |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1649467424 PECOS PAC ID: 5890736821 Enrollment ID: I20050519000409 |
Provider Name | David Wilkett |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1922080860 PECOS PAC ID: 1557304383 Enrollment ID: I20050602001036 |
Provider Name | Timothy T Mccay |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245221761 PECOS PAC ID: 2961456538 Enrollment ID: I20050621000935 |
Provider Name | Sheila Malone Taber |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447241971 PECOS PAC ID: 1557311495 Enrollment ID: I20050715000344 |
Provider Name | Felino A Pascual |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801877055 PECOS PAC ID: 6002801834 Enrollment ID: I20050728000628 |
Provider Name | John S Dennis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871584060 PECOS PAC ID: 3173594389 Enrollment ID: I20050728000739 |
Provider Name | John D Walton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326096850 PECOS PAC ID: 3375546054 Enrollment ID: I20060907000113 |
Provider Name | Jasmine R Gaddy |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1881628758 PECOS PAC ID: 7416953336 Enrollment ID: I20061016000421 |
Provider Name | Myeong S Yoon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497722342 PECOS PAC ID: 0042227266 Enrollment ID: I20070219000272 |
Provider Name | Laura L Arrowsmith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1083654800 PECOS PAC ID: 9638123631 Enrollment ID: I20081014000674 |
Provider Name | Judith Wolfstein |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013914456 PECOS PAC ID: 0345135232 Enrollment ID: I20081203000298 |
Provider Name | Ralph Noah |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669458741 PECOS PAC ID: 6800966284 Enrollment ID: I20090326000463 |
Provider Name | Hooby P Yoon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508066473 PECOS PAC ID: 4486705779 Enrollment ID: I20090626000135 |
Provider Name | Kelly Cole |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699958157 PECOS PAC ID: 0648322024 Enrollment ID: I20090916000496 |
Provider Name | Jeremy Scott Fullingim |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255537304 PECOS PAC ID: 5092867762 Enrollment ID: I20090917000124 |
Provider Name | Damon L Brooks |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558583963 PECOS PAC ID: 4587715354 Enrollment ID: I20090917000269 |
Provider Name | Michelle M Ponder |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447399415 PECOS PAC ID: 4880787217 Enrollment ID: I20100428000166 |
Provider Name | Christos Vassiliou |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053567784 PECOS PAC ID: 8820120454 Enrollment ID: I20100719000117 |
Provider Name | Robert L Morgan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154306249 PECOS PAC ID: 8325164551 Enrollment ID: I20100924001221 |
Provider Name | Nina C Jones |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003877754 PECOS PAC ID: 6901833367 Enrollment ID: I20110414000371 |
Provider Name | Stephen A Back |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639302060 PECOS PAC ID: 3476723594 Enrollment ID: I20110829000547 |
Provider Name | Carol Ann Browning |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780864033 PECOS PAC ID: 4385705888 Enrollment ID: I20120123000164 |
Provider Name | Patrick B O Hayre |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518134352 PECOS PAC ID: 2264695402 Enrollment ID: I20120730000568 |
Provider Name | Leila Danielle See |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013164268 PECOS PAC ID: 6800059064 Enrollment ID: I20120810000291 |
Provider Name | Jeffrey W Shelton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1194864074 PECOS PAC ID: 7719141639 Enrollment ID: I20120823000396 |
Provider Name | Jonathon D Kirkland |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639315260 PECOS PAC ID: 4789823139 Enrollment ID: I20130726000027 |
Provider Name | James N Pham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306089578 PECOS PAC ID: 4284876558 Enrollment ID: I20130911000061 |
Provider Name | Michelle D Kimmel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528089505 PECOS PAC ID: 5890748008 Enrollment ID: I20130927000307 |
Provider Name | Brooke White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558679035 PECOS PAC ID: 4688807464 Enrollment ID: I20140516000548 |
Provider Name | Michael J Golden |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952527012 PECOS PAC ID: 9032353313 Enrollment ID: I20140701000579 |
Provider Name | Nicholas Bull |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1487968756 PECOS PAC ID: 6507099389 Enrollment ID: I20140821001827 |
Provider Name | Peter J Mostert |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326346875 PECOS PAC ID: 2860635844 Enrollment ID: I20140828001578 |
Provider Name | Bo Yon Choi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053551721 PECOS PAC ID: 5890920870 Enrollment ID: I20140925002205 |
Provider Name | Aaron Q Will |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1821357690 PECOS PAC ID: 8729237045 Enrollment ID: I20141006002358 |
Provider Name | David J Ingle |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700884491 PECOS PAC ID: 4688561368 Enrollment ID: I20150116001899 |
Provider Name | Kyle G Flowers |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1063710580 PECOS PAC ID: 2769703107 Enrollment ID: I20150610001387 |
Provider Name | Tanakorn Songrug |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073847455 PECOS PAC ID: 7416184478 Enrollment ID: I20150615002064 |
Provider Name | Donald Von Borstel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1275887663 PECOS PAC ID: 3779894860 Enrollment ID: I20150617001059 |
Provider Name | Stacy R Jervis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538569199 PECOS PAC ID: 6305068743 Enrollment ID: I20150812007738 |
Provider Name | Marcus Brown |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1275776965 PECOS PAC ID: 8224250816 Enrollment ID: I20150910000185 |
Provider Name | George Polanco |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326019332 PECOS PAC ID: 0244210755 Enrollment ID: I20160713002114 |
Provider Name | David T Dotson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861476269 PECOS PAC ID: 8022061266 Enrollment ID: I20160727002014 |
Provider Name | Ronald A Stillerman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679549166 PECOS PAC ID: 7214958370 Enrollment ID: I20161122000168 |
Provider Name | Bart M Rowlett |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104945526 PECOS PAC ID: 5092602102 Enrollment ID: I20170215002368 |
Provider Name | Emad Hamid |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457553588 PECOS PAC ID: 7618021999 Enrollment ID: I20170502001404 |
Provider Name | Kenneth E Mann |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851398713 PECOS PAC ID: 7113985441 Enrollment ID: I20170519000382 |
Provider Name | Adam Boice Foster |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1811230311 PECOS PAC ID: 6406123504 Enrollment ID: I20170526000322 |
Provider Name | Amy Casey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053717546 PECOS PAC ID: 3678885738 Enrollment ID: I20170629001362 |
Provider Name | Blake Edward Weaver |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497785893 PECOS PAC ID: 6103890975 Enrollment ID: I20170629001468 |
Provider Name | April R Waller |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1497131411 PECOS PAC ID: 1759683535 Enrollment ID: I20170728000454 |
Provider Name | Kevin L Hamm |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578657623 PECOS PAC ID: 8022919620 Enrollment ID: I20171014000017 |
Provider Name | Lauren Harjo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1447562301 PECOS PAC ID: 8729229968 Enrollment ID: I20171025001014 |
Provider Name | Craig White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1417278573 PECOS PAC ID: 2365757481 Enrollment ID: I20180104000432 |
Provider Name | Natalia Solomon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003173915 PECOS PAC ID: 6709141328 Enrollment ID: I20180601001555 |
Provider Name | Julia D Knarreborg |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952662363 PECOS PAC ID: 3173828803 Enrollment ID: I20180703001304 |
Provider Name | Laura M Young |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720048267 PECOS PAC ID: 9436109477 Enrollment ID: I20180813001041 |
Provider Name | Nathalie V Andry |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992022305 PECOS PAC ID: 8921132903 Enrollment ID: I20180816000632 |
Provider Name | Alfred C Degner |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891755294 PECOS PAC ID: 4082675996 Enrollment ID: I20180822000860 |
Provider Name | Catherine Anne Shaeffer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1811251499 PECOS PAC ID: 4385872175 Enrollment ID: I20180830000526 |
Provider Name | Steven Matthew Wright |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366733404 PECOS PAC ID: 0042536575 Enrollment ID: I20180912003056 |
Provider Name | Kyle F Summers |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346663135 PECOS PAC ID: 6406119593 Enrollment ID: I20180926000466 |
Provider Name | Hunter J Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063907558 PECOS PAC ID: 8224380993 Enrollment ID: I20181008001055 |
Provider Name | Aun Ali Hussain |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1184056202 PECOS PAC ID: 5092067439 Enrollment ID: I20181011002458 |
Provider Name | Ronald Stephen Pritchard |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1417998774 PECOS PAC ID: 2668426578 Enrollment ID: I20181016001073 |
Provider Name | Robert F Howard |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1396760302 PECOS PAC ID: 4183819774 Enrollment ID: I20181030001945 |
Provider Name | Shawn D Grant |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043214497 PECOS PAC ID: 6204877079 Enrollment ID: I20181211000646 |
Provider Name | Michael J Walters |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1962768341 PECOS PAC ID: 6901198951 Enrollment ID: I20190621000329 |
Provider Name | Natosha Monfore |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912343435 PECOS PAC ID: 6800129651 Enrollment ID: I20190709001084 |
Provider Name | Marie L Duan Meservy |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699018424 PECOS PAC ID: 0749588374 Enrollment ID: I20190830002587 |
Provider Name | Eugenio Erquiaga |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528005048 PECOS PAC ID: 6002947033 Enrollment ID: I20190923000256 |
Provider Name | Nicholas A Strle |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851703185 PECOS PAC ID: 4587999354 Enrollment ID: I20191115001941 |
Provider Name | Cameron P Smith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1831515287 PECOS PAC ID: 7214264449 Enrollment ID: I20191116000000 |
Provider Name | Melanie Diane Mester |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1174986582 PECOS PAC ID: 6406280429 Enrollment ID: I20191230000839 |
Provider Name | Robert L Cirillo |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356305973 PECOS PAC ID: 0840238994 Enrollment ID: I20191231001741 |
Provider Name | Mildred Blandamer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932420239 PECOS PAC ID: 5092969162 Enrollment ID: I20200221002072 |
Provider Name | Jeff Lee |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073933289 PECOS PAC ID: 2567899552 Enrollment ID: I20200304001706 |
Provider Name | Mckinley C Lawson |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104137181 PECOS PAC ID: 6103056759 Enrollment ID: I20200609000592 |
Provider Name | Nabil A Yassa |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467438911 PECOS PAC ID: 8729020839 Enrollment ID: I20200609000648 |
Provider Name | Christopher D Roman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033266838 PECOS PAC ID: 1850482761 Enrollment ID: I20200701000532 |
Provider Name | Marsha Cobell-moore |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891990214 PECOS PAC ID: 8123319050 Enrollment ID: I20200730001226 |
Provider Name | Tonya Houston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316214430 PECOS PAC ID: 4284932484 Enrollment ID: I20200831001411 |
Provider Name | Dimple Shah |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306023809 PECOS PAC ID: 5991952178 Enrollment ID: I20210114000460 |
Provider Name | Steven T Corcoran |
---|---|
Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548217839 PECOS PAC ID: 3870596810 Enrollment ID: I20210622001343 |
Provider Name | Matthew Bledsoe |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295116721 PECOS PAC ID: 6608188024 Enrollment ID: I20210702000599 |
Provider Name | Rafel Alvarez |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215383005 PECOS PAC ID: 7618247586 Enrollment ID: I20210706000944 |
Provider Name | Tyler Braaten |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134507957 PECOS PAC ID: 3577964352 Enrollment ID: I20210708000016 |
Provider Name | Soumya Vempalle |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134514896 PECOS PAC ID: 9032500392 Enrollment ID: I20211220002762 |
Provider Name | Amaya Basta |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457589699 PECOS PAC ID: 0042434524 Enrollment ID: I20220118001954 |
Provider Name | Dustin W Cheney |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225492606 PECOS PAC ID: 9133523418 Enrollment ID: I20220324000946 |
Provider Name | Frank Hebroni |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1437509494 PECOS PAC ID: 0941609754 Enrollment ID: I20220706002718 |
Provider Name | Nancy Emelife |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992124093 PECOS PAC ID: 6608298245 Enrollment ID: I20220708000678 |
Provider Name | Gregory Bradley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1881135804 PECOS PAC ID: 6608207824 Enrollment ID: I20221013000072 |
Provider Name | Oliver Cvitanic |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538267208 PECOS PAC ID: 2567490204 Enrollment ID: I20221205003181 |
Provider Name | Joseph Eble |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1972766806 PECOS PAC ID: 9436205952 Enrollment ID: I20230102000149 |
Provider Name | Islam Fayed |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316300320 PECOS PAC ID: 3072922806 Enrollment ID: I20230403000723 |
Provider Name | Michael Edward Sabatino |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447425673 PECOS PAC ID: 1951571736 Enrollment ID: I20230526000985 |
Provider Name | Azka Arif |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1417478371 PECOS PAC ID: 1850758574 Enrollment ID: I20230612000150 |
Provider Name | Austin Marsh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346773850 PECOS PAC ID: 7911389002 Enrollment ID: I20230624000094 |
Provider Name | Mehyar Hefazi Torghabeh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548655343 PECOS PAC ID: 9830586767 Enrollment ID: I20230701000263 |
Provider Name | Ashley Michelle Roberts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932683984 PECOS PAC ID: 0446585640 Enrollment ID: I20230807001002 |
Provider Name | Laura E Baumeister |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083068381 PECOS PAC ID: 3274995071 Enrollment ID: I20230810002127 |
Provider Name | Aubrey J Slaughter |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851596936 PECOS PAC ID: 4486898145 Enrollment ID: I20230913000750 |
Provider Name | Hoang Nguyen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679619712 PECOS PAC ID: 8729146907 Enrollment ID: I20231009002181 |
Provider Name | Lisa S Mogelnicki |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1689967739 PECOS PAC ID: 6901076959 Enrollment ID: I20231009003145 |
Provider Name | Erin M Horsley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134405939 PECOS PAC ID: 2668786039 Enrollment ID: I20240103000811 |
Provider Name | Kimberly S Winsor |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447678016 PECOS PAC ID: 7517221948 Enrollment ID: I20240103001136 |
Provider Name | Jessica Millsap |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710207451 PECOS PAC ID: 1759527559 Enrollment ID: I20240103003939 |
Provider Name | Jeremiah M Daniel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316441652 PECOS PAC ID: 1052731155 Enrollment ID: I20240213003182 |
Provider Name | Nedeljko Uncanin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346744737 PECOS PAC ID: 1052778123 Enrollment ID: I20240305003116 |
Provider Name | Crosby Cooper |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386325686 PECOS PAC ID: 0042657538 Enrollment ID: I20240320000052 |
Provider Name | Chad Hanson |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1649561713 PECOS PAC ID: 2264720168 Enrollment ID: I20240326002779 |
Gordon P. Laird, D.o. Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 534 Illinois St, Pawnee, OK 74058 Phone: 918-762-3602 Fax: 187-622-9529 | |
Unity Healthcare Association Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 308 Beck Drive, Pawnee, OK 74058 Phone: 918-762-1073 | |
Pawnee Health & Wellness Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 304 Boulder St, Pawnee, OK 74058 Phone: 918-762-3601 Fax: 918-762-2544 | |
Phoenix Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Harrison St, Pawnee, OK 74058 Phone: 918-762-5050 Fax: 877-515-8550 | |
W. Edward Clymer, Do Pawnee Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Boulder St, Pawnee, OK 74058 Phone: 918-762-2522 Fax: 918-762-3510 | |
Phoenix Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 Harrison St, Pawnee, OK 74058 Phone: 918-762-5050 Fax: 918-762-5055 | |
Stillwater Medical Center Authority Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Boulder St, Pawnee, OK 74058 Phone: 918-762-2522 |