Peter Fast (NPI# 1255699435, PAC ID# 0749412625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1255699435 |
| PAC ID by PECOS | 0749412625 |
| Professional Enrollment ID | I20160714001175 |
| Full Name | Peter Fast |
| Organization Legal Name | WARREN CLINIC INC |
| Address |
2900 N Main St Muskogee OK 74401-4078 |
| Phone Number | 9186842663 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 8820900293 |
| Number of Group Practice Members | 487 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370025 | SAINT FRANCIS HOSPITAL MUSKOGEE |
| 370034 | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 2900 N Main St, Muskogee, OK 74401-4078 | 9186842663 | WARREN CLINIC INC |
| Organization Legal Name | WARREN CLINIC INC |
| Physicians | 455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Mix | Physician Assistant | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Charity Dawn Johnson | Family Medicine | Warren Clinic Inc | 108 Lone Oak Cir, Fort Gibson, OK 74434-5001 |
| Shiela D Williams | Nurse Practitioner | Warren Clinic Inc | 715 N Foreman St, Vinita, OK 74301-1422 |
| Richenda Dawn Herren | General Surgery | Warren Clinic Inc | 101 Rockefeller Dr, Suite 201, Muskogee, OK 74401-5050 |
| Carmen Oakes | Nurse Practitioner | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
| Patrice Harrison | Qualified Audiologist | Warren Clinic Inc | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 |
| Jonathan M Baldwin | Obstetrics/gynecology | Warren Clinic Inc | 3504 W Okmulgee St, Muskogee, OK 74401-5073 |
| Robert L Shepler | Family Medicine | Warren Clinic Inc | 3332 W Okmulgee St, Muskogee, OK 74401-5069 |
| Ashley Anne Petersen | Pediatric Medicine | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
| William Alexander Santillan | Nurse Practitioner | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
| Street Address |
2900 N MAIN ST |
| City | MUSKOGEE |
| State | OK |
| Zip | 74401-4078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Gene Hood | Orthopedic Surgery | Warren Clinic Inc | 2900 N Main St, Muskogee, OK 74401-4078 |
| Katelyn Brooke Carter | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 2900 N Main St, Suite 102, Muskogee, OK 74401-4078 |
| Erik Henrik Arve | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 2900 N Main St, Muskogee, OK 74401-4078 |
| Arthur J Murphy Iii | Orthopedic Surgery | Warren Clinic Inc | 2900 N Main St, Muskogee, OK 74401-4078 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Patton | Psychiatry | 841 N 38th St, Brentwood Extended Care and Rehab LLC, Muskogee, OK 74401-2056 | |
| Ashley N Aldrich | Family Medicine | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Kendra Seccombe | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jetta D Ange | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jennifer Lyn Stickelmeyer | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Stephanie J Garrett | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Caitlin M Ashley | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Erik E Paulson | Diagnostic Radiology | Landmark Cancer Center Gp LLC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Ravikumar Vasireddy | Hematology/oncology | Landmark Cancer Center Gp LLC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Bilal Ahmad | Hematology/oncology | Pinnacle Oncology Oklahoma PC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Find all physicians in zip 74401 | |||
| City | MUSKOGEE |
| Zip Code | 74401 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | MUSKOGEE + SPORTS MEDICINE |
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| 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.