Kandra L Dodd (NPI# 1003393778, PAC ID# 0840540498) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1003393778 |
| PAC ID by PECOS | 0840540498 |
| Professional Enrollment ID | I20190308001776 |
| Full Name | Kandra L Dodd |
| Organization Legal Name | SOUTHEAST OKLAHOMA MEDICAL CLINIC LLC |
| Address |
1308 E Carl Albert Pkwy Mcalester OK 74501-5236 |
| Phone Number | 9184237191 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8527324680 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370034 | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
| 371319 | MARY HURLEY HOSPITAL |
| 371301 | PRAGUE COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1308 E Carl Albert Pkwy, Mcalester, OK 74501-5236 | 9184237191 | SOUTHEAST OKLAHOMA MEDICAL CLINIC LLC |
| Organization Legal Name | SOUTHEAST OKLAHOMA MEDICAL CLINIC LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia R Gosey | Nurse Practitioner | Southeast Oklahoma Medical Clinic LLC | 1308 E Carl Albert Pkwy, Mcalester, OK 74501-5236 |
| Street Address |
1308 E CARL ALBERT PKWY |
| City | MCALESTER |
| State | OK |
| Zip | 74501-5236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia R Gosey | Nurse Practitioner | Southeast Oklahoma Medical Clinic LLC | 1308 E Carl Albert Pkwy, Mcalester, OK 74501-5236 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolie K Mascoto | Chiropractic | 1609 N Strong Blvd, Mcalester, OK 74501-3839 | |
| Emory J Hilton | Podiatry | 1502 N Strong Blvd, Mcalester, OK 74501-3842 | |
| Amisty L Beck | Nurse Practitioner | Oklahoma Cancer Specialists and Research Institute, LLC | 901 N Strong Blvd, Mcalester, OK 74501-4206 |
| David W Hamblin | Urology | Oklahoma Cancer Specialists and Research Institute, LLC | 901 N Strong Blvd, Mcalester, OK 74501-4206 |
| Kamron Torbati | Obstetrics/gynecology | Mcalester Medical Services LLC | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Clarence Dallas Tarp | Certified Registered Nurse Anesthetist (crna) | Blue Sky Anesthesia Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| John Clay Bowen | Family Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Will Remington Goodrich | Emergency Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Bilal H Piracha | Family Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Rachel Maria Piston | Nurse Practitioner | Prime Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester Regional Hospital, Mcalester, OK 74501-4209 |
| Find all physicians in zip 74501 | |||
| City | MCALESTER |
| Zip Code | 74501 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MCALESTER + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kandra L Dodd.
| 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.