Rural Wellness Stroud Inc. | |
2308 W Highway 66 Stroud OK 74079-6729 | |
(918) 968-3571 | |
(918) 968-4814 |
Full Name | Rural Wellness Stroud Inc. |
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Speciality | Clinic/Center |
Location | 2308 W Highway 66, Stroud, 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 Stroud Inc. 361 Hospital Rd Ste 528 Newport Beach CA 92663-3526 Ph: (949) 322-4337 | Rural Wellness Stroud Inc. 2308 W Highway 66 Stroud OK 74079-6729 Ph: (918) 968-3571 |
NPI Number | 1609532282 |
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Provider Enumeration Date | 11/09/2021 |
Last Update Date | 11/09/2021 |
Medicare PECOS PAC ID | 7113310491 |
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Medicare Enrollment ID | O20220209000912 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609532282 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Provider Name | James V Rooks |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1841269792 PECOS PAC ID: 7012918915 Enrollment ID: I20070119000199 |
Provider Name | Anna Wanahita |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1073650537 PECOS PAC ID: 7214037860 Enrollment ID: I20070711000514 |
Provider Name | Suraj Suku |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891833505 PECOS PAC ID: 9133293178 Enrollment ID: I20080808000395 |
Provider Name | Imad Uddin |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245498906 PECOS PAC ID: 3870764285 Enrollment ID: I20110915000274 |
Provider Name | Vishal Mundra |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235469503 PECOS PAC ID: 0749453926 Enrollment ID: I20111103000448 |
Provider Name | Shannon G Davis |
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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 Mikus |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598086050 PECOS PAC ID: 7719121938 Enrollment ID: I20130910000128 |
Provider Name | Monica Tubbesing |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063876985 PECOS PAC ID: 0446532428 Enrollment ID: I20170127000397 |
Provider Name | Audrianna Sparks |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20170926000549 |
Provider Name | Jessica Susan Culpepper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033766167 PECOS PAC ID: 3870926363 Enrollment ID: I20191216000559 |
Provider Name | Cassy Ranae Morse |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396353439 PECOS PAC ID: 0840607776 Enrollment ID: I20210322000397 |
Provider Name | Mark Borsody |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1215179767 PECOS PAC ID: 5890844575 Enrollment ID: I20230123000220 |
Provider Name | Dolly B Roy |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1053469072 PECOS PAC ID: 9436245891 Enrollment ID: I20230313000038 |
Provider Name | Alvin Wong |
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Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1639738602 PECOS PAC ID: 2466811120 Enrollment ID: I20230629000533 |
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