Wewoka Indian Health | |
36640 Hwy 270 Wewoka OK 74884 | |
(405) 257-6282 | |
(405) 257-2696 |
Full Name | Wewoka Indian Health |
---|---|
Speciality | Clinic/Center |
Location | 36640 Hwy 270, Wewoka, Oklahoma |
Authorized Official Name and Position | Farrel Smith (CEO) |
Authorized Official Contact | 4052576282 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Wewoka Indian Health Po Box 1475 Wewoka OK 74884-1475 Ph: (405) 257-7318 | Wewoka Indian Health 36640 Hwy 270 Wewoka OK 74884 Ph: (405) 257-6282 |
NPI Number | 1689664195 |
---|---|
Provider Enumeration Date | 10/26/2005 |
Last Update Date | 02/23/2021 |
Medicare PECOS PAC ID | 7517911415 |
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Medicare Enrollment ID | O20050303000367 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689664195 | NPI | - | NPPES |
100689220A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QC1500X | Clinic/center - Community Health | (Oklahoma) | Primary |
Provider Name | Linda M Cummings |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1366427619 PECOS PAC ID: 4688662281 Enrollment ID: I20040503001495 |
Provider Name | Tracy S Williams |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851334296 PECOS PAC ID: 9830175165 Enrollment ID: I20040628000697 |
Provider Name | Derrick L Cameron |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013993278 PECOS PAC ID: 4082677612 Enrollment ID: I20041104001205 |
Provider Name | Timothy T Mccay |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1245221761 PECOS PAC ID: 2961456538 Enrollment ID: I20050621000935 |
Provider Name | Sheila Malone Taber |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447241971 PECOS PAC ID: 1557311495 Enrollment ID: I20050715000344 |
Provider Name | Chris Sholer |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1326047226 PECOS PAC ID: 3870520471 Enrollment ID: I20050726000410 |
Provider Name | Felino A Pascual |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1801877055 PECOS PAC ID: 6002801834 Enrollment ID: I20050728000628 |
Provider Name | John S Dennis |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1871584060 PECOS PAC ID: 3173594389 Enrollment ID: I20050728000739 |
Provider Name | John D Walton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326096850 PECOS PAC ID: 3375546054 Enrollment ID: I20060907000113 |
Provider Name | Jasmine R Gaddy |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1881628758 PECOS PAC ID: 7416953336 Enrollment ID: I20061016000421 |
Provider Name | Myeong S Yoon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497722342 PECOS PAC ID: 0042227266 Enrollment ID: I20070219000272 |
Provider Name | Rodney W Hale |
---|---|
Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1083875199 PECOS PAC ID: 2860569456 Enrollment ID: I20080924000095 |
Provider Name | Laura L Arrowsmith |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1083654800 PECOS PAC ID: 9638123631 Enrollment ID: I20081014000674 |
Provider Name | Judith Wolfstein |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013914456 PECOS PAC ID: 0345135232 Enrollment ID: I20081203000298 |
Provider Name | Ralph Noah |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1669458741 PECOS PAC ID: 6800966284 Enrollment ID: I20090326000463 |
Provider Name | James D Coffey |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1902020050 PECOS PAC ID: 8527168673 Enrollment ID: I20090427000235 |
Provider Name | Hooby P Yoon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1508066473 PECOS PAC ID: 4486705779 Enrollment ID: I20090626000135 |
Provider Name | Kelly Cole |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699958157 PECOS PAC ID: 0648322024 Enrollment ID: I20090916000496 |
Provider Name | Jeremy Scott Fullingim |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1255537304 PECOS PAC ID: 5092867762 Enrollment ID: I20090917000124 |
Provider Name | Damon L Brooks |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558583963 PECOS PAC ID: 4587715354 Enrollment ID: I20090917000269 |
Provider Name | Michelle M Ponder |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447399415 PECOS PAC ID: 4880787217 Enrollment ID: I20100428000166 |
Provider Name | Christos Vassiliou |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053567784 PECOS PAC ID: 8820120454 Enrollment ID: I20100719000117 |
Provider Name | Gregory Mclain |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1871599704 PECOS PAC ID: 7012041221 Enrollment ID: I20100810000488 |
Provider Name | Ronald Fried |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093714214 PECOS PAC ID: 8628102886 Enrollment ID: I20100810001036 |
Provider Name | Jack J Beller |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1437157344 PECOS PAC ID: 2062404437 Enrollment ID: I20110809000609 |
Provider Name | Stephen A Back |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639302060 PECOS PAC ID: 3476723594 Enrollment ID: I20110829000547 |
Provider Name | Carol Ann Browning |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1780864033 PECOS PAC ID: 4385705888 Enrollment ID: I20120123000164 |
Provider Name | Patrick B O Hayre |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1518134352 PECOS PAC ID: 2264695402 Enrollment ID: I20120730000568 |
Provider Name | Leila Danielle See |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1013164268 PECOS PAC ID: 6800059064 Enrollment ID: I20120810000291 |
Provider Name | Jeffrey W Shelton |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1194864074 PECOS PAC ID: 7719141639 Enrollment ID: I20120823000396 |
Provider Name | Jonathon D Kirkland |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1639315260 PECOS PAC ID: 4789823139 Enrollment ID: I20130726000027 |
Provider Name | James N Pham |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306089578 PECOS PAC ID: 4284876558 Enrollment ID: I20130911000061 |
Provider Name | Brooke White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1558679035 PECOS PAC ID: 4688807464 Enrollment ID: I20140516000548 |
Provider Name | Michael J Golden |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952527012 PECOS PAC ID: 9032353313 Enrollment ID: I20140701000579 |
Provider Name | Nicholas Bull |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1487968756 PECOS PAC ID: 6507099389 Enrollment ID: I20140821001827 |
Provider Name | Peter J Mostert |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326346875 PECOS PAC ID: 2860635844 Enrollment ID: I20140828001578 |
Provider Name | Bo Yon Choi |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1053551721 PECOS PAC ID: 5890920870 Enrollment ID: I20140925002205 |
Provider Name | Paul G Pierce |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1952499337 PECOS PAC ID: 5092964577 Enrollment ID: I20141113000881 |
Provider Name | David J Ingle |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1700884491 PECOS PAC ID: 4688561368 Enrollment ID: I20150116001899 |
Provider Name | Wendy J Pingleton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942275409 PECOS PAC ID: 3173620457 Enrollment ID: I20150209001027 |
Provider Name | Kyle G Flowers |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1063710580 PECOS PAC ID: 2769703107 Enrollment ID: I20150610001387 |
Provider Name | Tanakorn Songrug |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073847455 PECOS PAC ID: 7416184478 Enrollment ID: I20150615002064 |
Provider Name | Donald Von Borstel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1275887663 PECOS PAC ID: 3779894860 Enrollment ID: I20150617001059 |
Provider Name | Marcus Brown |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1275776965 PECOS PAC ID: 8224250816 Enrollment ID: I20150910000185 |
Provider Name | George Polanco |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1326019332 PECOS PAC ID: 0244210755 Enrollment ID: I20160713002114 |
Provider Name | Shanna R Poor Buffalo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720430507 PECOS PAC ID: 2062708654 Enrollment ID: I20160908000171 |
Provider Name | Ronald A Stillerman |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1679549166 PECOS PAC ID: 7214958370 Enrollment ID: I20161122000168 |
Provider Name | Bart M Rowlett |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104945526 PECOS PAC ID: 5092602102 Enrollment ID: I20170215002368 |
Provider Name | Emad Hamid |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457553588 PECOS PAC ID: 7618021999 Enrollment ID: I20170502001404 |
Provider Name | Kenneth E Mann |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851398713 PECOS PAC ID: 7113985441 Enrollment ID: I20170519000382 |
Provider Name | Blake Edward Weaver |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1497785893 PECOS PAC ID: 6103890975 Enrollment ID: I20170629001468 |
Provider Name | Kevin L Hamm |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1578657623 PECOS PAC ID: 8022919620 Enrollment ID: I20171014000017 |
Provider Name | Ernestine Shires |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1588923130 PECOS PAC ID: 4486604535 Enrollment ID: I20171101001829 |
Provider Name | Craig White |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1417278573 PECOS PAC ID: 2365757481 Enrollment ID: I20180104000432 |
Provider Name | Natalia Solomon |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1003173915 PECOS PAC ID: 6709141328 Enrollment ID: I20180601001555 |
Provider Name | Julia D Knarreborg |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1952662363 PECOS PAC ID: 3173828803 Enrollment ID: I20180703001304 |
Provider Name | Laura M Young |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1720048267 PECOS PAC ID: 9436109477 Enrollment ID: I20180813001041 |
Provider Name | Nathalie V Andry |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992022305 PECOS PAC ID: 8921132903 Enrollment ID: I20180816000632 |
Provider Name | Alfred C Degner |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1891755294 PECOS PAC ID: 4082675996 Enrollment ID: I20180822000860 |
Provider Name | Catherine Anne Shaeffer |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1811251499 PECOS PAC ID: 4385872175 Enrollment ID: I20180830000526 |
Provider Name | Steven Matthew Wright |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1366733404 PECOS PAC ID: 0042536575 Enrollment ID: I20180912003056 |
Provider Name | Kyle F Summers |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346663135 PECOS PAC ID: 6406119593 Enrollment ID: I20180926000466 |
Provider Name | Aun Ali Hussain |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1184056202 PECOS PAC ID: 5092067439 Enrollment ID: I20181011002458 |
Provider Name | Ronald Stephen Pritchard |
---|---|
Provider Type | Practitioner - Pathology |
Provider Identifiers | NPI Number: 1417998774 PECOS PAC ID: 2668426578 Enrollment ID: I20181016001073 |
Provider Name | Shawn D Grant |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1043214497 PECOS PAC ID: 6204877079 Enrollment ID: I20181211000646 |
Provider Name | Michael J Walters |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1962768341 PECOS PAC ID: 6901198951 Enrollment ID: I20190621000329 |
Provider Name | Natosha Monfore |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1912343435 PECOS PAC ID: 6800129651 Enrollment ID: I20190709001084 |
Provider Name | Marie L Duan Meservy |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1699018424 PECOS PAC ID: 0749588374 Enrollment ID: I20190830002587 |
Provider Name | Eugenio Erquiaga |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1528005048 PECOS PAC ID: 6002947033 Enrollment ID: I20190923000256 |
Provider Name | Nicholas A Strle |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851703185 PECOS PAC ID: 4587999354 Enrollment ID: I20191115001941 |
Provider Name | Cameron P Smith |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1831515287 PECOS PAC ID: 7214264449 Enrollment ID: I20191116000000 |
Provider Name | Brandi Gynn Harden |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578010716 PECOS PAC ID: 2769740091 Enrollment ID: I20191211001609 |
Provider Name | Robert L Cirillo |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1356305973 PECOS PAC ID: 0840238994 Enrollment ID: I20191231001741 |
Provider Name | Mary Sue Kendrick |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1598705626 PECOS PAC ID: 8921991803 Enrollment ID: I20200103000214 |
Provider Name | Jeff Lee |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1073933289 PECOS PAC ID: 2567899552 Enrollment ID: I20200304001706 |
Provider Name | Sarah Courtney Knife Chief |
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Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1043359805 PECOS PAC ID: 4789873647 Enrollment ID: I20200331001005 |
Provider Name | Mckinley C Lawson |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1104137181 PECOS PAC ID: 6103056759 Enrollment ID: I20200609000592 |
Provider Name | Nabil A Yassa |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1467438911 PECOS PAC ID: 8729020839 Enrollment ID: I20200609000648 |
Provider Name | Christopher D Roman |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1033266838 PECOS PAC ID: 1850482761 Enrollment ID: I20200701000532 |
Provider Name | Dimple Shah |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1306023809 PECOS PAC ID: 5991952178 Enrollment ID: I20210114000460 |
Provider Name | Matthew Bledsoe |
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Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1295116721 PECOS PAC ID: 6608188024 Enrollment ID: I20210702000599 |
Provider Name | Rafel Alvarez |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1215383005 PECOS PAC ID: 7618247586 Enrollment ID: I20210706000944 |
Provider Name | Tyler Braaten |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134507957 PECOS PAC ID: 3577964352 Enrollment ID: I20210708000016 |
Provider Name | Soumya Vempalle |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134514896 PECOS PAC ID: 9032500392 Enrollment ID: I20211220002762 |
Provider Name | Amaya Basta |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1457589699 PECOS PAC ID: 0042434524 Enrollment ID: I20220118001954 |
Provider Name | Dustin W Cheney |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1225492606 PECOS PAC ID: 9133523418 Enrollment ID: I20220324000946 |
Provider Name | Frank Hebroni |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1437509494 PECOS PAC ID: 0941609754 Enrollment ID: I20220706002718 |
Provider Name | Nancy Emelife |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1992124093 PECOS PAC ID: 6608298245 Enrollment ID: I20220708000678 |
Provider Name | Gregory Bradley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1881135804 PECOS PAC ID: 6608207824 Enrollment ID: I20221013000072 |
Provider Name | Oliver Cvitanic |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1538267208 PECOS PAC ID: 2567490204 Enrollment ID: I20221205003181 |
Provider Name | Joseph Eble |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1972766806 PECOS PAC ID: 9436205952 Enrollment ID: I20230102000149 |
Provider Name | Islam Fayed |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316300320 PECOS PAC ID: 3072922806 Enrollment ID: I20230403000723 |
Provider Name | Michael Edward Sabatino |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1447425673 PECOS PAC ID: 1951571736 Enrollment ID: I20230526000985 |
Provider Name | Austin Marsh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346773850 PECOS PAC ID: 7911389002 Enrollment ID: I20230624000094 |
Provider Name | Mehyar Hefazi Torghabeh |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1548655343 PECOS PAC ID: 9830586767 Enrollment ID: I20230701000263 |
Provider Name | Aubrey J Slaughter |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1851596936 PECOS PAC ID: 4486898145 Enrollment ID: I20230913000750 |
Provider Name | Erin M Horsley |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1134405939 PECOS PAC ID: 2668786039 Enrollment ID: I20240103000811 |
Provider Name | Kimberly S Winsor |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1447678016 PECOS PAC ID: 7517221948 Enrollment ID: I20240103001136 |
Provider Name | Jessica Millsap |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1710207451 PECOS PAC ID: 1759527559 Enrollment ID: I20240103003939 |
Provider Name | Jeremiah M Daniel |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1316441652 PECOS PAC ID: 1052731155 Enrollment ID: I20240213003182 |
Provider Name | Nedeljko Uncanin |
---|---|
Provider Type | Practitioner - Diagnostic Radiology |
Provider Identifiers | NPI Number: 1346744737 PECOS PAC ID: 1052778123 Enrollment ID: I20240305003116 |
Provider Name | Barry Daniel Hughes |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1164830493 PECOS PAC ID: 0042657801 Enrollment ID: I20240328001706 |
Wewoka Medical Rural Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1401 W 1st St, Wewoka, OK 74884 Phone: 405-257-3396 Fax: 405-257-6908 | |
Usphs/ihs/wewoka Indian Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 36640 Hwy 270, Wewoka, OK 74884 Phone: 405-257-7361 Fax: 405-257-3344 | |
Eco Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 West 1st Street, Wewoka, OK 74884 Phone: 405-257-5422 Fax: 405-257-5463 | |
Indian Health Service-wewoka Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Jct Hwys 56 & 270, Wewoka, OK 74884 Phone: 405-257-7361 | |
Wewoka Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1402 S Indian Rd, Wewoka, OK 74884 Phone: 405-257-9055 Fax: 405-257-9951 | |
Holdenville General Hospital Wewoka Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1401 W 1st St, Wewoka, OK 74884 Phone: 405-257-3396 Fax: 405-257-6908 | |
Saints Wewoka Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1509 S Indian Rd, Wewoka, OK 74884 Phone: 405-257-6272 Fax: 405-257-6273 |