Mary M Hines (NPI# 1588078331, PAC ID# 0941520266) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1588078331 |
| PAC ID by PECOS | 0941520266 |
| Professional Enrollment ID | I20170725001711 |
| Full Name | Mary M Hines |
| Organization Legal Name | JONATHAN RAY LONG MD LLC |
| Address |
210 E Franklin Ave Weatherford OK 73096-5135 |
| Phone Number | 5807725600 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436339306 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371323 | WEATHERFORD REGIONAL HOSPITAL, INC OF WEATHERFORD |
| 370093 | OU MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 210 E Franklin Ave, Weatherford, OK 73096-5135 | 5807725600 | JONATHAN RAY LONG MD LLC |
| Organization Legal Name | JONATHAN RAY LONG MD LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathon R Long | Family Medicine | Jonathan Ray Long Md LLC | 210 E Franklin Ave, Weatherford, OK 73096-5135 |
| Street Address |
210 E FRANKLIN AVE |
| City | WEATHERFORD |
| State | OK |
| Zip | 73096-5135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathon R Long | Family Medicine | Jonathan Ray Long Md LLC | 210 E Franklin Ave, Weatherford, OK 73096-5135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell L Hanan | General Surgery | Russell L Hanan M D Inc | 213 N Illinois, Weatherford, OK 73096 |
| Jimmy D Smart | Optometry | Paul C. Tisdal,o.d.,p.c. | 1545 N Washington, Weatherford Eyecare Center, Weatherford, OK 73096-0308 |
| Paul C Tisdal | Optometry | Paul C. Tisdal,o.d.,p.c. | 1545 N Washington, Weatherford Eyecare Center, Weatherford, OK 73096-0308 |
| Rubi Ann Litteral | Nurse Practitioner | Williams Medical Group Practice LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Brian L Bluth | Family Medicine | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
| Tamara Jo Grabeal | Nurse Practitioner | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
| Debra M Murray | Nurse Practitioner | Bluth Family Medicine, LLC | 1315 N Washington St, Weatherford, OK 73096-2443 |
| N Devonna A Belle | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Sean K George | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Jana Nikole Morris | Physician Assistant | Xpress Wellness LLC | 1303 N Washington St, Weatherford, OK 73096-2443 |
| Find all physicians in zip 73096 | |||
| City | WEATHERFORD |
| Zip Code | 73096 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WEATHERFORD + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mary M Hines.
| 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.