Rural Wellness Anadarko Inc | |
1002 E Central Blvd Anadarko OK 73005-4405 | |
(405) 247-2551 | |
(405) 247-8528 |
Full Name | Rural Wellness Anadarko Inc |
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Speciality | Clinic/Center |
Location | 1002 E Central Blvd, Anadarko, Oklahoma |
Authorized Official Name and Position | Elizabeth Pusey (PRESIDENT) |
Authorized Official Contact | 9493224337 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Rural Wellness Anadarko Inc 2524 N Broadway Edmond OK 73034-4172 Ph: (949) 322-4337 | Rural Wellness Anadarko Inc 1002 E Central Blvd Anadarko OK 73005-4405 Ph: (405) 247-2551 |
NPI Number | 1538825120 |
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Provider Enumeration Date | 11/09/2021 |
Last Update Date | 11/23/2021 |
Medicare PECOS PAC ID | 3274926100 |
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Medicare Enrollment ID | O20220216002693 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538825120 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | James I Graham |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1043226764 PECOS PAC ID: 5092797571 Enrollment ID: I20040607001417 |
Provider Name | John P Belardo |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1720196314 PECOS PAC ID: 0840266094 Enrollment ID: I20040909000473 |
Provider Name | Lavonna Sanders |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1326151085 PECOS PAC ID: 1254383060 Enrollment ID: I20050224000052 |
Provider Name | Gene Harold Evans |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1659344042 PECOS PAC ID: 5395798516 Enrollment ID: I20050301000102 |
Provider Name | Kirk Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023008653 PECOS PAC ID: 6608825732 Enrollment ID: I20050304000207 |
Provider Name | James Wiley |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1720029069 PECOS PAC ID: 2062484009 Enrollment ID: I20050420000410 |
Provider Name | James V Rooks |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1841269792 PECOS PAC ID: 7012918915 Enrollment ID: I20070119000199 |
Provider Name | Anna Wanahita |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20070711000514 |
Provider Name | William G Morgan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770564312 PECOS PAC ID: 4183717762 Enrollment ID: I20070912000827 |
Provider Name | Jeffrey Hopkins |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1467656371 PECOS PAC ID: 1951473826 Enrollment ID: I20080709000580 |
Provider Name | Suraj Suku |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20080808000395 |
Provider Name | Donald F Haslam |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1689601866 PECOS PAC ID: 0446152722 Enrollment ID: I20090429000278 |
Provider Name | Karen E Parks |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1962731851 PECOS PAC ID: 2365573987 Enrollment ID: I20100625000801 |
Provider Name | Nicole J Alvarez |
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Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1730404989 PECOS PAC ID: 5890827836 Enrollment ID: I20100709000676 |
Provider Name | Liem Trang |
---|---|
Provider Type | Practitioner - Pain Management |
Provider Identifiers | NPI Number: 1619084738 PECOS PAC ID: 8426181207 Enrollment ID: I20100730000139 |
Provider Name | Rakesh Shrivastava |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1043250863 PECOS PAC ID: 2466354063 Enrollment ID: I20100923000332 |
Provider Name | Bao Lien Tu |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1831130913 PECOS PAC ID: 4486721313 Enrollment ID: I20101025001188 |
Provider Name | Rachel Veach |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225339385 PECOS PAC ID: 0244416758 Enrollment ID: I20110518000465 |
Provider Name | Akshey Bhanot |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1437189198 PECOS PAC ID: 1658397351 Enrollment ID: I20110615000479 |
Provider Name | Joseph Ware |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1275831620 PECOS PAC ID: 5294904215 Enrollment ID: I20110809000426 |
Provider Name | Vishal Mundra |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235469503 PECOS PAC ID: 0749453926 Enrollment ID: I20111103000448 |
Provider Name | Shannon G Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477838217 PECOS PAC ID: 1658546759 Enrollment ID: I20111219000098 |
Provider Name | Pavankumar Bommasamudram |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639306293 PECOS PAC ID: 3779749478 Enrollment ID: I20120725000093 |
Provider Name | Stephen A Mikus |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20130910000128 |
Provider Name | Monica J Winford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679810295 PECOS PAC ID: 3971731886 Enrollment ID: I20140122000258 |
Provider Name | Stephanie M Roberson |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1780006817 PECOS PAC ID: 0244461986 Enrollment ID: I20140324000409 |
Provider Name | John Ross Williamson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386050441 PECOS PAC ID: 9234452418 Enrollment ID: I20141218001916 |
Provider Name | Thara R Damodaran |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1265455604 PECOS PAC ID: 9133125917 Enrollment ID: I20150924001243 |
Provider Name | Akash Patel |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1871858548 PECOS PAC ID: 7618297441 Enrollment ID: I20151210000314 |
Provider Name | Valerie Hazlip |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982076642 PECOS PAC ID: 0547562357 Enrollment ID: I20160112000466 |
Provider Name | Christina B Nez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467420109 PECOS PAC ID: 5496849978 Enrollment ID: I20160429000783 |
Provider Name | Jamie Harris |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1942653530 PECOS PAC ID: 8022396852 Enrollment ID: I20161031000818 |
Provider Name | Monica Tubbesing |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063876985 PECOS PAC ID: 0446532428 Enrollment ID: I20170127000397 |
Provider Name | Audrianna Sparks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20170926000549 |
Provider Name | Scarlett Virden |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205343605 PECOS PAC ID: 9739436023 Enrollment ID: I20180718000174 |
Provider Name | Joshua Watkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134788052 PECOS PAC ID: 2365774304 Enrollment ID: I20191024001975 |
Provider Name | Kristie Michelle Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356995476 PECOS PAC ID: 8921431610 Enrollment ID: I20191211001118 |
Provider Name | Jessica Susan Culpepper |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033766167 PECOS PAC ID: 3870926363 Enrollment ID: I20191216000559 |
Provider Name | Crystal Dawn Mccarty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407356827 PECOS PAC ID: 2365864956 Enrollment ID: I20200629001460 |
Provider Name | Lauren D'ann Clark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821627167 PECOS PAC ID: 2668895178 Enrollment ID: I20200630003044 |
Provider Name | Cassy Ranae Morse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396353439 PECOS PAC ID: 0840607776 Enrollment ID: I20210322000397 |
Provider Name | Lindsey Hester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457945677 PECOS PAC ID: 9830507383 Enrollment ID: I20210421002071 |
Provider Name | Usman Ahmad Khan |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1104379239 PECOS PAC ID: 4082023379 Enrollment ID: I20210518001509 |
Provider Name | Wendy M Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558983957 PECOS PAC ID: 6305240979 Enrollment ID: I20210803003993 |
Provider Name | Cassi M Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215522917 PECOS PAC ID: 1456754688 Enrollment ID: I20210812003787 |
Provider Name | Mark Borsody |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20230123000220 |
Provider Name | Dolly B Roy |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1053469072 PECOS PAC ID: 9436245891 Enrollment ID: I20230313000038 |
Provider Name | William K Wyatt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407542293 PECOS PAC ID: 7214393123 Enrollment ID: I20230519000108 |
Provider Name | Alvin Wong |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1639738602 PECOS PAC ID: 2466811120 Enrollment ID: I20230629000533 |
Provider Name | Kerri S Remmel |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1639177884 PECOS PAC ID: 8921016908 Enrollment ID: I20240110005252 |
Provider Name | Michael A Haboubi |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1740410117 PECOS PAC ID: 1850535600 Enrollment ID: I20240427001869 |
Provider Name | Tracy Ander |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1801121355 PECOS PAC ID: 2769621036 Enrollment ID: I20240611003230 |
Provider Name | Zulfiqar Turk |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1972794014 PECOS PAC ID: 8628233194 Enrollment ID: I20240613003091 |
Provider Name | Victor C Onyejiaka |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1770626087 PECOS PAC ID: 7719978238 Enrollment ID: I20240809003084 |
Variety Care, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 W Petree Rd, Anadarko, OK 73005 Phone: 405-632-6688 | |
Rural Wellness Anadarko Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Se 11th Street, Anadarko, OK 73005 Phone: 405-247-9500 Fax: 405-247-9505 | |
Variety Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 718 W Petree Rd, Anadarko, OK 73005 Phone: 405-632-6688 |