Jamie L Gore (NPI# 1730113788, PAC ID# 0840294625) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1730113788 |
PAC ID by PECOS | 0840294625 |
Professional Enrollment ID | I20060909000032 |
Full Name | Jamie L Gore |
Organization Legal Name | WOODWARD CLINIC COMPANY, LLC |
Address |
1650 Main St Woodward OK 73801-3046 |
Phone Number | 5805718050 |
Gender | F |
Credential | DO |
Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
Graduation Year | 2004 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | OSTEOPATHIC MANIPULATIVE MEDICINE |
Group Practice PAC ID | 4486725934 |
Number of Group Practice Members | 7 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370002 | ALLIANCEHEALTH WOODWARD |
370019 | GREAT PLAINS REGIONAL MEDICAL CENTER |
370029 | ALLIANCEHEALTH CLINTON |
370093 | OU MEDICAL CENTER |
370026 | ST MARY'S REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
1650 Main St, Woodward, OK 73801-3046 | 5805718050 | WOODWARD CLINIC COMPANY, LLC |
1650 Main St, Suite A, Woodward, OK 73801-3046 | 5802548182 | WOODWARD CLINIC COMPANY, LLC |
900 17th St, Woodward, OK 73801-2448 | 5802565511 | WOODWARD HEALTH SYSTEM LLC |
Organization Legal Name | WOODWARD CLINIC COMPANY, LLC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Christopher A Tarpein | Physician Assistant | Woodward Clinic Company, LLC | 1715 Main St, Woodward, OK 73801-2938 |
Mica Kristin Hartman | Nurse Practitioner | Woodward Clinic Company, LLC | 1650 Main St, Woodward, OK 73801-3046 |
Martin T Reilly | Orthopedic Surgery | Woodward Clinic Company, LLC | 900 17th St, Woodward, OK 73801-2448 |
Larry Brent Scott | Otolaryngology | Woodward Clinic Company, LLC | 900 17th St, Woodward, OK 73801-2448 |
Street Address |
1650 MAIN ST |
City | WOODWARD |
State | OK |
Zip | 73801-3046 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brenda K Huenergardt | General Surgery | 1650 Main St, B, Woodward, OK 73801-3046 | |
Mica Kristin Hartman | Nurse Practitioner | Woodward Clinic Company, LLC | 1650 Main St, Woodward, OK 73801-3046 |
Name | Specialty | Organization | Address |
---|---|---|---|
Jason M Richardson | Certified Registered Nurse Anesthetist (crna) | Western Oklahoma Anesthesia Consultants Woodward LLC | 900 17th St, Woodward, OK 73801-2448 |
Shawna Marissa Logan | Nurse Practitioner | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
Marisa A Endersby | Certified Registered Nurse Anesthetist (crna) | Western Oklahoma Anesthesia Consultants Woodward LLC | 900 17th St, Woodward, OK 73801-2448 |
Joanna Elliott | Nurse Practitioner | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
Keenan L Ferguson | Hospitalist | Apogee Medical Group Oklahoma Inc | 900 17th St, Woodward, OK 73801-2448 |
Madeline Kaye Cortez | Nurse Practitioner | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
John D Sutton | Hospitalist | Apogee Medical Group Oklahoma Inc | 900 17th St, Woodward, OK 73801-2448 |
Joel William Anderson Iii | Emergency Medicine | Emergency Services of Oklahoma PC | 900 17th St, Woodward, OK 73801-2448 |
Richard S Carter | Emergency Medicine | Emergency Services of Oklahoma PC | 900 17th St, Woodward, OK 73801-2448 |
Maysam Behzad-noori | Hospitalist | Apogee Medical Group Oklahoma Inc | 900 17th St, Woodward, OK 73801-2448 |
Find all physicians in zip 73801 |
City | WOODWARD |
Zip Code | 73801 |
Specialty | FAMILY MEDICINE |
City + Specialty | WOODWARD + FAMILY 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.