Julie Ann Wilson (NPI# 1578122834, PAC ID# 0244560175) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1578122834 |
| PAC ID by PECOS | 0244560175 |
| Professional Enrollment ID | I20190919001343 |
| Full Name | Julie Ann Wilson |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Address |
112 N 5th St Barnsdall OK 74002-6616 |
| Phone Number | 9188472558 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2567366495 |
| Number of Group Practice Members | 321 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 112 N 5th St, Barnsdall, OK 74002-6616 | 9188472558 | ST JOHN PHYSICIANS INC |
| 1705 E 19th St, Tulsa, OK 74104-5410 | ST JOHN PHYSICIANS INC | |
| 1923 S Utica Ave, Tulsa, OK 74104-6520 | 9187442967 | OMNI MEDICAL GROUP INC |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Physicians | 353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Leanne Thompson | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Megan E Renz | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 3550 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 |
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Jodi Oder | Nurse Practitioner | St John Physicians Inc | 1505 W 11th St, Coffeyville Office, Coffeyville, KS 67337-3622 |
| Tyler Auschwitz | Neurosurgery | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Jennifer M Minadeo | Internal Medicine | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| James M Carver | Family Medicine | St John Physicians Inc | 218 W 4th Ave, Caney Office, Caney, KS 67333-1462 |
| Teressa H Lemaster | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5410 |
| Casie Nicole Brim | Nurse Practitioner | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Peter Madden | Internal Medicine | St John Physicians Inc | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5410 |
| Street Address |
112 N 5TH ST |
| City | BARNSDALL |
| State | OK |
| Zip | 74002-6616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marcus D Sizemore | Physician Assistant | St John Physicians Inc | 112 N 5th St, Barnsdall, OK 74002-6616 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shonta Crowder | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 401 W Main St, Barnsdall, OK 74002-6631 |
| City | BARNSDALL |
| Zip Code | 74002 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | BARNSDALL + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Julie Ann Wilson.
| 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.