| Tulsa Bone & Joint Associates Pc | |
|
4802 S 109th East Ave Tulsa OK 74146-5822 | |
| (918) 392-1400 | |
| (918) 392-1488 |
| Full Name | Tulsa Bone & Joint Associates Pc |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 4802 S 109th East Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | Kevin M Dukes (PRESIDENT) |
| Authorized Official Contact | 9183921511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tulsa Bone & Joint Associates Pc 4802 S 109th East Ave Tulsa OK 74146-5822 Ph: (918) 392-1400 | Tulsa Bone & Joint Associates Pc 4802 S 109th East Ave Tulsa OK 74146-5822 Ph: (918) 392-1400 |
| NPI Number | 1154373132 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 07/05/2024 |
| Medicare PECOS PAC ID | 9335033802 |
|---|---|
| Medicare Enrollment ID | O20040214000207 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154373132 | NPI | - | NPPES |
| 100747620A | Medicaid | OK | |
| CG0279 | Other | OK | RAILROAD MEDICARE |
| Provider Name | Richard L Drake |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336326206 PECOS PAC ID: 9436043874 Enrollment ID: I20040209000515 |
| Provider Name | Shawn C Mayes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285610824 PECOS PAC ID: 7113811639 Enrollment ID: I20040213000292 |
| Provider Name | Kyle D Knapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134158629 PECOS PAC ID: 9234113655 Enrollment ID: I20040615000243 |
| Provider Name | Helen I Pratt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558383182 PECOS PAC ID: 2961473608 Enrollment ID: I20040805000144 |
| Provider Name | Mea E Boone |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841212479 PECOS PAC ID: 3072584606 Enrollment ID: I20040805000468 |
| Provider Name | Cynthia A Odle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639199987 PECOS PAC ID: 4587635149 Enrollment ID: I20040805000635 |
| Provider Name | Srikanth K Reddy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1912934100 PECOS PAC ID: 7214905702 Enrollment ID: I20040922000676 |
| Provider Name | Jeri J Townsend |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407818420 PECOS PAC ID: 2769418516 Enrollment ID: I20050919000875 |
| Provider Name | William L Surbeck |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1154382711 PECOS PAC ID: 8224120464 Enrollment ID: I20070817000454 |
| Provider Name | Alan L Martin |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1083677017 PECOS PAC ID: 7416049226 Enrollment ID: I20070824000407 |
| Provider Name | Brian Lovelace |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043359813 PECOS PAC ID: 3375613052 Enrollment ID: I20080606000546 |
| Provider Name | Shelly Renee Walentiny |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639158991 PECOS PAC ID: 7517039308 Enrollment ID: I20080710000802 |
| Provider Name | John C Balbas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730201682 PECOS PAC ID: 9638277460 Enrollment ID: I20080909000044 |
| Provider Name | Bethany D Koss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033371919 PECOS PAC ID: 2264500867 Enrollment ID: I20081009000464 |
| Provider Name | Marchel W Clements |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386672913 PECOS PAC ID: 0547243222 Enrollment ID: I20100204000907 |
| Provider Name | Antoine Ibrahim Jabbour |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588632905 PECOS PAC ID: 2163421942 Enrollment ID: I20100804001039 |
| Provider Name | Kevin Michael Dukes |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710955901 PECOS PAC ID: 3577452887 Enrollment ID: I20100804001075 |
| Provider Name | Richard Doyle Thomas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366410441 PECOS PAC ID: 8527003730 Enrollment ID: I20100805000714 |
| Provider Name | Scott Jeffrey Dunitz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316914542 PECOS PAC ID: 0244124717 Enrollment ID: I20100805000800 |
| Provider Name | James C Slater |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558339986 PECOS PAC ID: 7618976499 Enrollment ID: I20100810000793 |
| Provider Name | Wesley Michael Stotler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013984251 PECOS PAC ID: 1052400769 Enrollment ID: I20100810000814 |
| Provider Name | Caleb Nunley |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1427256940 PECOS PAC ID: 5991976250 Enrollment ID: I20110915000890 |
| Provider Name | David Mokhtee |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1235321472 PECOS PAC ID: 4284709411 Enrollment ID: I20120123000599 |
| Provider Name | Scott D Cochran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336137140 PECOS PAC ID: 1355383498 Enrollment ID: I20120312000834 |
| Provider Name | Rebecca A Storey |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841442969 PECOS PAC ID: 3870758121 Enrollment ID: I20120711000560 |
| Provider Name | Molly Marie Cook |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861759938 PECOS PAC ID: 8123279163 Enrollment ID: I20121121000334 |
| Provider Name | Christopher Ray Martin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1376727289 PECOS PAC ID: 8426103250 Enrollment ID: I20131120001752 |
| Provider Name | Marissa Rachele Farr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811318348 PECOS PAC ID: 3274762877 Enrollment ID: I20140130001395 |
| Provider Name | Tonya Ridley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306260971 PECOS PAC ID: 4385876564 Enrollment ID: I20140423000440 |
| Provider Name | Ashley Nicole Mumma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982037214 PECOS PAC ID: 7517183296 Enrollment ID: I20140801001787 |
| Provider Name | Daniel Gabriel Skierski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306258355 PECOS PAC ID: 6305169152 Enrollment ID: I20141231000073 |
| Provider Name | Robert Ridley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669697314 PECOS PAC ID: 7214251370 Enrollment ID: I20150120000887 |
| Provider Name | Britney Marie Else |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043509474 PECOS PAC ID: 9739325168 Enrollment ID: I20150623000455 |
| Provider Name | Justin Kyle Lum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598152407 PECOS PAC ID: 7113238536 Enrollment ID: I20150625001380 |
| Provider Name | Justin Reid |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124221262 PECOS PAC ID: 5698954139 Enrollment ID: I20150730012559 |
| Provider Name | Emma Marie Strande |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033599303 PECOS PAC ID: 6709192982 Enrollment ID: I20150902002328 |
| Provider Name | Craig Stewart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124400064 PECOS PAC ID: 0749597003 Enrollment ID: I20150918000354 |
| Provider Name | Stacey Lynn Long |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073977716 PECOS PAC ID: 8426347568 Enrollment ID: I20160513000199 |
| Provider Name | Jason Griffin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720306277 PECOS PAC ID: 3072804566 Enrollment ID: I20160613001911 |
| Provider Name | Jessica Rey Childe |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1568784957 PECOS PAC ID: 1951695329 Enrollment ID: I20160808001483 |
| Provider Name | Sara Christine Murray |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366898868 PECOS PAC ID: 6002104262 Enrollment ID: I20161004002278 |
| Provider Name | Michelle Lynn Fuqua |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295289940 PECOS PAC ID: 9739477159 Enrollment ID: I20161018000236 |
| Provider Name | Brent Dressler |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1265671093 PECOS PAC ID: 5991944993 Enrollment ID: I20161119000078 |
| Provider Name | Alyssa Chandler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346779923 PECOS PAC ID: 7517235096 Enrollment ID: I20170626001356 |
| Provider Name | Amanda Renee Lynch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306068366 PECOS PAC ID: 9638449390 Enrollment ID: I20170728000336 |
| Provider Name | Megan M Burkdoll |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902320310 PECOS PAC ID: 7416229380 Enrollment ID: I20170828002197 |
| Provider Name | Haylee M Stockard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265928956 PECOS PAC ID: 0547518284 Enrollment ID: I20180813000810 |
| Provider Name | Jennifer Elizabeth Peterson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902249592 PECOS PAC ID: 3476854092 Enrollment ID: I20190515001816 |
| Provider Name | Stephanie Boyce |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053865899 PECOS PAC ID: 3577850270 Enrollment ID: I20190709000338 |
| Provider Name | Christopher Crane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578941928 PECOS PAC ID: 1557669868 Enrollment ID: I20190907000359 |
| Provider Name | Molly Ann Bart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420155 PECOS PAC ID: 1557795473 Enrollment ID: I20200102000552 |
| Provider Name | Elizabeth Mary Weldin |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1730523655 PECOS PAC ID: 5092957407 Enrollment ID: I20210419000518 |
| Provider Name | Christopher Robert Wild |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356696595 PECOS PAC ID: 7719115351 Enrollment ID: I20210609000698 |
| Provider Name | Taylor S Smith |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750957874 PECOS PAC ID: 8921408691 Enrollment ID: I20210617000492 |
| Provider Name | Brac'ee M Burke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700266772 PECOS PAC ID: 3870808538 Enrollment ID: I20210920003654 |
| Provider Name | Nicole Torres |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730843947 PECOS PAC ID: 4284028994 Enrollment ID: I20220223000725 |
| Provider Name | Braxton Kyle Huckabee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023772696 PECOS PAC ID: 7719371863 Enrollment ID: I20220307000673 |
| Provider Name | Tammy Sue Wagoner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174278527 PECOS PAC ID: 2062807001 Enrollment ID: I20220310000010 |
| Provider Name | Allison Buchanan Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760047872 PECOS PAC ID: 2961736962 Enrollment ID: I20220323001681 |
| Provider Name | Kally Marie Owen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669101846 PECOS PAC ID: 9537548227 Enrollment ID: I20220627003126 |
| Provider Name | Ian Patrick Goodman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134495666 PECOS PAC ID: 5799059705 Enrollment ID: I20220711001590 |
| Provider Name | Jonathan Michael Jurgens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083974141 PECOS PAC ID: 6305001538 Enrollment ID: I20221110000376 |
| Provider Name | Emily Jean Hullberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215501101 PECOS PAC ID: 4284006172 Enrollment ID: I20230201002993 |
| Provider Name | Megan Sullivan Inbody |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821782277 PECOS PAC ID: 5597125195 Enrollment ID: I20230713004241 |
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Community Health Connection, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13702 E 46th Pl, Tulsa, OK 74134 Phone: 918-622-0641 Fax: 918-622-4814 | |
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