| Southwest Gastroenterology Associates Pllc | |
|
525 Sw 80th Street Suite 200 Oklahoma City OK 73139 | |
| (405) 631-0481 | |
| (405) 631-9025 |
| Full Name | Southwest Gastroenterology Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 525 Sw 80th Street, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Ravinder R Kurella (OWNER) |
| Authorized Official Contact | 4056310481 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Gastroenterology Associates Pllc 525 Sw 80th Street Suite 200 Oklahoma City OK 73139 Ph: (405) 631-0481 | Southwest Gastroenterology Associates Pllc 525 Sw 80th Street Suite 200 Oklahoma City OK 73139 Ph: (405) 631-0481 |
| NPI Number | 1306111448 |
|---|---|
| Provider Enumeration Date | 03/21/2012 |
| Last Update Date | 08/22/2019 |
| Medicare PECOS PAC ID | 7416110820 |
|---|---|
| Medicare Enrollment ID | O20120523000040 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306111448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 22226 (Oklahoma) | Primary |
| Provider Name | Ravinder R Kurella |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154415347 PECOS PAC ID: 3678736089 Enrollment ID: I20120530000564 |
| Provider Name | Angela K Quick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760953418 PECOS PAC ID: 4981940897 Enrollment ID: I20190115001021 |
| Provider Name | Shymol Aji John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679115703 PECOS PAC ID: 3779990973 Enrollment ID: I20210407000066 |
| Provider Name | Lauren Burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518620939 PECOS PAC ID: 5496144461 Enrollment ID: I20211112000440 |
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 |