Physician Housecalls Llc | |
101 W Hefner Rd Oklahoma City OK 73114-6631 | |
(405) 896-8058 | |
(855) 223-1999 |
Full Name | Physician Housecalls Llc |
---|---|
Speciality | Family Medicine |
Location | 101 W Hefner Rd, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Henry Ross (SOLE MANAGING MEMBER) |
Authorized Official Contact | 4058968058 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Physician Housecalls Llc 101 W Hefner Rd Oklahoma City OK 73114-6631 Ph: (405) 896-8058 | Physician Housecalls Llc 101 W Hefner Rd Oklahoma City OK 73114-6631 Ph: (405) 896-8058 |
NPI Number | 1528480811 |
---|---|
Provider Enumeration Date | 01/06/2014 |
Last Update Date | 10/08/2021 |
Medicare PECOS PAC ID | 0648400903 |
---|---|
Medicare Enrollment ID | O20140306000111 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528480811 | NPI | - | NPPES |
333938 | Other | OK | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Ian Thompson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1184606873 PECOS PAC ID: 6103907886 Enrollment ID: I20100120000744 |
Provider Name | Kristen A Downs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770873069 PECOS PAC ID: 1355528589 Enrollment ID: I20110615000453 |
Provider Name | Genevieve Dulan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033391370 PECOS PAC ID: 5991957656 Enrollment ID: I20121205000012 |
Provider Name | Molly Ann Mayfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407106727 PECOS PAC ID: 3274778410 Enrollment ID: I20130318000386 |
Provider Name | Crystal Danielle White |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518347319 PECOS PAC ID: 8123331469 Enrollment ID: I20150716000338 |
Provider Name | Jason A Clemons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548678139 PECOS PAC ID: 6901115922 Enrollment ID: I20151014000921 |
Provider Name | Brooke A Henderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184077273 PECOS PAC ID: 8325332406 Enrollment ID: I20160812000299 |
Provider Name | Terri G Wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760933055 PECOS PAC ID: 8527344241 Enrollment ID: I20170412002011 |
Provider Name | Eunhye Steele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134659733 PECOS PAC ID: 8729350608 Enrollment ID: I20170828002961 |
Provider Name | Teresa Nabors |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952832438 PECOS PAC ID: 8921353491 Enrollment ID: I20180625002085 |
Provider Name | Adrienne Tess Hernandez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932694957 PECOS PAC ID: 5597015164 Enrollment ID: I20180830003115 |
Provider Name | Kelly Marlene Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700345345 PECOS PAC ID: 6103159520 Enrollment ID: I20190617002719 |
Provider Name | Lavon L. Klahr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790249688 PECOS PAC ID: 8325373954 Enrollment ID: I20190718000729 |
Provider Name | Wendy K Wilbur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437648201 PECOS PAC ID: 5193053114 Enrollment ID: I20190828002464 |
Provider Name | Ese Isiuwa Akinyemi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770961468 PECOS PAC ID: 9537450945 Enrollment ID: I20190831000098 |
Provider Name | Julie Haberly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235783325 PECOS PAC ID: 0446582373 Enrollment ID: I20191028000072 |
Provider Name | Alisa Valereyvna Tarasova |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043782634 PECOS PAC ID: 0446683544 Enrollment ID: I20191203002933 |
Provider Name | Stanley Eugene Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780141747 PECOS PAC ID: 6204262249 Enrollment ID: I20200211000525 |
Provider Name | Susan Giovanni |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1689616203 PECOS PAC ID: 4183676091 Enrollment ID: I20210517000129 |
Provider Name | Dannyel Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760046452 PECOS PAC ID: 5991106254 Enrollment ID: I20210624002548 |
Provider Name | Martha Presley Tran |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1780902684 PECOS PAC ID: 1456589712 Enrollment ID: I20211105000093 |
Provider Name | Amelia B Swaim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821751694 PECOS PAC ID: 2860889110 Enrollment ID: I20220505000470 |
Provider Name | Amy Stark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477098754 PECOS PAC ID: 1153605589 Enrollment ID: I20220701002735 |
Provider Name | Latonia Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891278743 PECOS PAC ID: 7810399458 Enrollment ID: I20220719001834 |
Provider Name | Lindsay Elizabeth Lane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851020507 PECOS PAC ID: 5799167771 Enrollment ID: I20220808002515 |
Provider Name | Manuel Brockman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588152607 PECOS PAC ID: 4284982893 Enrollment ID: I20221228000578 |
Provider Name | Emily Sheffel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043869407 PECOS PAC ID: 7113390246 Enrollment ID: I20230310000552 |
Provider Name | Jessica A Wardworth |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689369811 PECOS PAC ID: 0345605895 Enrollment ID: I20230522003332 |
Provider Name | Amanda Marie Fite |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538944665 PECOS PAC ID: 6305200270 Enrollment ID: I20230911002522 |
Provider Name | Kristin Bergethon |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134575038 PECOS PAC ID: 6507152006 Enrollment ID: I20240519000051 |
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 |