MUSKOGEE PHYSICIAN GROUP, LLC (NPI# 1295858918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295858918 |
| Entity Type | Organization |
| Organization Name | MUSKOGEE PHYSICIAN GROUP, LLC |
| Practice Address |
300 Rockefeller Dr Muskogee OK 74401-5075 |
| Mailing Address |
500 Corporate Centre Dr Ste. 200 Franklin TN 37067-6219 |
| Practice Telephone | 9186825501 |
| Practice Fax Number | 9186842552 |
| Mailing Telephone | 6157643000 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL S. SLIPKOVICH (CEO) |
| Authorized Official Telephone | 6157643000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oklahoma Business Registrations | MUSKOGEE PHYSICIAN GROUP, LLC | 501 Corporate Centre Dr, Suite 200, Franklin, TN 37067 |
| Street Address |
300 ROCKEFELLER DR |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566279 | Brian Neal Stephens | Nurse Anesthetist, Certified Registered | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2005-05-27 |
| 1770115446 | Tina Gale-bickett | Nurse Practitioner | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2020-02-10 |
| 1568943355 | Steve Zagorodny | Occupational Therapist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2018-08-28 |
| 1699272559 | Erik Jon Ostrowski | Clinical Exercise Physiologist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2018-04-08 |
| 1609379056 | Kimberly M Hedrick | Nurse Practitioner | 300 Rockefeller Dr, Muskogee, OK 74401 | 2018-03-12 |
| 1912424532 | Jeanne M. Rappsilber | Physical Medicine & Rehabilitation | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-08-24 |
| 1225558729 | Cordine Corretta Krystal Glasgow | Hospitalist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-06-26 |
| 1609396092 | Aparna Vuppala | Internal Medicine | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-06-26 |
| 1790220952 | Saint Francis Hospital Muskogee Inc | Psychiatric Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
| 1306381561 | Saint Francis Hospital Muskogee Inc | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
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| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588783104 | John Harold Saxon IIi | Anesthesiology | 3612 Country Club Dr, Muskogee, OK 74403-1753 | 2007-03-28 |
| 1962412999 | Terry Michael Gile | Anesthesiology | 3204 W Okmulgee, Muskogee, OK 74401 | 2006-08-09 |
| 1447803713 | Sara Katelyn Dempster | Anesthesiology | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2019-07-16 |
| 1750515722 | Anesthesia Associates of Muskogee, PC | Anesthesiology | 2900 N Main St, Muskogee, OK 74401-4078 | 2009-05-06 |
| 1104085711 | Brad Wayne Stahlheber | Anesthesiology | 2900 N Main St, Muskogee, OK 74401-4078 | 2008-06-09 |
| 1184882979 | Tony William Spatz | Anesthesiology | 300 Rockefeller Dr, Department of Anesthesiology, Muskogee, OK 74401-5075 | 2008-05-28 |
| 1841488087 | Charles S Northum | Anesthesiology | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2007-10-12 |
| 1164515078 | Robert Richard Edde | Anesthesiology | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-10-02 |
| 1902906944 | Ananda V Yarrozu | Anesthesiology | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2006-09-22 |
| 1790887180 | Greg Bachman | Anesthesiology | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2006-09-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.