Wade R Matherly (NPI# 1043629413, PAC ID# 0840419123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1043629413 |
| PAC ID by PECOS | 0840419123 |
| Professional Enrollment ID | I20170626002225 |
| Full Name | Wade R Matherly |
| Organization Legal Name | TULSA EMERGENCY MEDICAL CENTER INC |
| Address |
2254 W Rogers Blvd Skiatook OK 74070-3909 |
| Phone Number | 9188959353 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375442692 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 171318 | SEDAN CITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2334 Se Washington Blvd B, Access Medical Center, Bartlesville, OK 74006-7257 | 9183319184 | MEDICAL RESOURCE MANAGEMENT LLC |
| 10701 N Rockwell Ave, Oklahoma City, OK 73162-4537 | 4054701500 | MEDICAL RESOURCE MANAGEMENT LLC |
| 2254 W Rogers Blvd, Skiatook, OK 74070-3909 | 9188959353 | TULSA EMERGENCY MEDICAL CENTER INC |
| 1217 E 48th St, Tulsa, OK 74105-4701 | 9187283333 | TULSA EMERGENCY MEDICAL CENTER INC |
| 1623 S Utica Ave, Tulsa, OK 74104-4909 | 9183925100 | TULSA EMERGENCY MEDICAL CENTER INC |
| 2929 S Garnett Rd, Tulsa, OK 74129-5101 | 9186651520 | TULSA EMERGENCY MEDICAL CENTER INC |
| Organization Legal Name | TULSA EMERGENCY MEDICAL CENTER INC |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel Aaron Lee | Nurse Practitioner | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Terri G Wilson | Nurse Practitioner | Tulsa Emergency Medical Center Inc | 4115 Redden, Pryor, OK 74361-9192 |
| Ryan A Nussbaum | Physician Assistant | Tulsa Emergency Medical Center Inc | 13616 E 103rd St N, Suite A, Owasso, OK 74055-4592 |
| Julie L Martin | Nurse Practitioner | Tulsa Emergency Medical Center Inc | 1623 S Utica Ave, Tulsa, OK 74104-4909 |
| Nick L Carroll | Family Medicine | Tulsa Emergency Medical Center Inc | 401 W Blue Starr Dr, Claremore, OK 74017-4006 |
| Steven L Nussbaum | Emergency Medicine | Tulsa Emergency Medical Center Inc | 2929 S Garnett Rd, Tulsa, OK 74129-5101 |
| Rachel Ireton | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Bryan V Marsh | Family Medicine | Tulsa Emergency Medical Center Inc | 2929 S Garnett Rd, Tulsa, OK 74129-5101 |
| Dianne R Briscoe | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Deborah D Holder | Physician Assistant | Tulsa Emergency Medical Center Inc | 11717 S Memorial Dr, Bixby, OK 74008-2027 |
| Street Address |
2254 W ROGERS BLVD |
| City | SKIATOOK |
| State | OK |
| Zip | 74070-3909 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald C Roberson | Optometry | 210 S Bulldog Blvd, Skiatook, OK 74070-1073 | |
| Elizabeth A Goodman | Chiropractic | 1529 W Rogers Blvd, Suite C, Skiatook, OK 74070-1086 | |
| Layne E Subera | Family Medicine | Sdo Group LLC | 201 E 2nd St, Skiatook, OK 74070-1211 |
| Brooke R Ostberg | Nurse Practitioner | Sdo Group LLC | 201 E 2nd St, Skiatook, OK 74070-1211 |
| Jamie L Collins | Nurse Practitioner | Sdo Group LLC | 201 E 2nd St, Skiatook, OK 74070-1211 |
| Jake Wesley Landreth | Chiropractic | 108 N Broadway, Skiatook, OK 74070-1222 | |
| Alicia G Carner | Physical Therapy | Redbud Physical Therapy LLC | 209 E Rogers Blvd, Skiatook, OK 74070-1251 |
| Robert L Johnson | Chiropractic | 203 S Hominy Ave, Skiatook, OK 74070-3975 | |
| Samuel David Stewart | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1355 W Rogers Blvd, Suite 10, Skiatook, OK 74070-4205 |
| Lacey J Pappan | Physical Therapy | Peak Rehabilitation P.C. | 1355 W Rogers, Skiatook, OK 74070-4205 |
| Find all physicians in zip 74070 | |||
| City | SKIATOOK |
| Zip Code | 74070 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SKIATOOK + PHYSICIAN ASSISTANT |
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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.