Charles M Fofang (NPI# 1093225989, PAC ID# 0042574303) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1093225989 |
| PAC ID by PECOS | 0042574303 |
| Professional Enrollment ID | I20180514002493 |
| Full Name | Charles M Fofang |
| Organization Legal Name | NES OKLAHOMA, INC. |
| Address |
1900 N 14th St Alliancehealth Ponca City Er Department Ponca City OK 74601-2035 |
| Phone Number | 5807653321 |
| Gender | M |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1456264324 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370037 | ST ANTHONY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1000 N Lee Ave, Room1921, Oklahoma City, OK 73102-1036 | 4052726406 | HEALTHFIRST PHYSICIANS MANAGEMENT SERVICES, INC. |
| 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 | 5807653321 | NES OKLAHOMA, INC. |
| Organization Legal Name | NES OKLAHOMA, INC. |
| Physicians | 17 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce Baugher | Internal Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Ryan David Myers | Emergency Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Demille W Madoux | Emergency Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Hafida R Mumallah | Family Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Scott P Turner | Internal Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Sharon Earls Stewart | Nurse Practitioner | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Brian W Cook | Emergency Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Ashley Rene Hesson | Nurse Practitioner | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Kimberly Mcphearson | Emergency Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Stanley C Nwokenkwo | Hospitalist | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Street Address |
1900 N 14TH ST ALLIANCEHEALTH PONCA CITY ER DEPARTMENT |
| City | PONCA CITY |
| State | OK |
| Zip | 74601-2035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rodney D Mann | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1900 N 14th St, Ponca City, OK 74601-2035 |
| Bruce Baugher | Internal Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Ryan David Myers | Emergency Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| William M Slater | General Surgery | Kay County Clinic Company LLC | 1900 N 14th St, Ponca City, OK 74601-2035 |
| Ron M Kreger | Obstetrics/gynecology | 1900 N 14th St, Ponca City, OK 74601-2035 | |
| Demille W Madoux | Emergency Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Hafida R Mumallah | Family Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Brady Reed | Certified Registered Nurse Anesthetist (crna) | Clinical Colleagues Inc | 1900 N 14th St, Ponca City, OK 74601-2035 |
| Scott P Turner | Internal Medicine | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Sharon Earls Stewart | Nurse Practitioner | Nes Oklahoma, Inc. | 1900 N 14th St, Alliancehealth Ponca City Er Department, Ponca City, OK 74601-2035 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Blaine Burnett | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Codi N Vilhauer | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Judy Nielsen | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Thomas M Carter | Ophthalmology | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Mark Edward Rigney | Family Medicine | 400 Fairview, Bldg 3 Suite 20, Ponca City, OK 74601-1910 | |
| Phillip J Knight | Family Medicine | 400 Fairview Ave, Suite 15, Ponca City, OK 74601-1910 | |
| Michael S Schiff | Cardiovascular Disease (cardiology) | Integris Cardiovascular Physicians LLC | 400 Fairview Ave, Suite 19, Ponca City, OK 74601-1910 |
| William R Howard | Otolaryngology | 400 Fairview Ave, Suite 16, Ponca City, OK 74601-1910 | |
| Gary A Dorman | Optometry | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Shrikrishna V Vaidya | Neurology | 400 Fairview Ave, Ponca City, OK 74601-1910 | |
| Find all physicians in zip 74601 | |||
| City | PONCA CITY |
| Zip Code | 74601 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PONCA CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charles M Fofang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.