| |
701 Ne 36th St Oklahoma City OK 73105-7203 | |
(405) 631-0611 | |
(405) 631-0811 |
Full Name | |
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Speciality | Family Medicine |
Location | 701 Ne 36th St, Oklahoma City, Oklahoma |
Authorized Official Name and Position | Brett Cauthen (CMO) |
Authorized Official Contact | 4056310611 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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701 Ne 36th St Oklahoma City OK 73105-7203 Ph: (405) 631-0611 | 701 Ne 36th St Oklahoma City OK 73105-7203 Ph: (405) 631-0611 |
NPI Number | 1871035022 |
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Provider Enumeration Date | 11/04/2016 |
Last Update Date | 11/04/2016 |
Medicare PECOS PAC ID | 2961545207 |
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Medicare Enrollment ID | O20100208000825 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871035022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Brett B Cauthen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1487818449 PECOS PAC ID: 3779626015 Enrollment ID: I20100208000829 |
Provider Name | Robert Luther Swicord |
---|---|
Provider Type | Practitioner - Preventive Medicine |
Provider Identifiers | NPI Number: 1417120023 PECOS PAC ID: 8628264173 Enrollment ID: I20101123000060 |
Provider Name | Stephanie Sims |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558786541 PECOS PAC ID: 4688899818 Enrollment ID: I20140702001011 |
Provider Name | Karen Barnor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184017295 PECOS PAC ID: 0547571176 Enrollment ID: I20150623001145 |
Provider Name | Heidi L Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477952976 PECOS PAC ID: 1658693965 Enrollment ID: I20160524001097 |
Provider Name | Janice Guthrie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952775769 PECOS PAC ID: 5799064911 Enrollment ID: I20161110002379 |
Provider Name | Rebecca Kaye Haynes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144771700 PECOS PAC ID: 5092098434 Enrollment ID: I20170210000249 |
Provider Name | Audrianna Sparks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245766294 PECOS PAC ID: 1355615626 Enrollment ID: I20170926000549 |
Provider Name | Wanda Ruth Meler-poteet |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851744395 PECOS PAC ID: 0840564035 Enrollment ID: I20170927001737 |
Provider Name | Michael Zinn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023567989 PECOS PAC ID: 6901171040 Enrollment ID: I20170929000531 |
Provider Name | Rebekah Ann Karnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174060792 PECOS PAC ID: 3476828831 Enrollment ID: I20171011000641 |
Provider Name | Peter Louis Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700352317 PECOS PAC ID: 3476892175 Enrollment ID: I20190225000832 |
Provider Name | Dina Biliske |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417509951 PECOS PAC ID: 5890026074 Enrollment ID: I20191021000881 |
Provider Name | Laura Moreno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982219697 PECOS PAC ID: 9133530967 Enrollment ID: I20201130000399 |
Provider Name | Bonnie Nadaene Grude |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154905321 PECOS PAC ID: 4688823479 Enrollment ID: I20221202000235 |
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 | |
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 | |