Kassandre S Balocca (NPI# 1205258027, PAC ID# 1153553250) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1205258027 |
| PAC ID by PECOS | 1153553250 |
| Professional Enrollment ID | I20140403001270 |
| Full Name | Kassandre S Balocca |
| Organization Legal Name | AHS OKLAHOMA HEART LLC |
| Address |
1305 E Taft Okla Heart Institute Sapulpa OK 74066-6033 |
| Phone Number | 9182248425 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4587737135 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370015 | HILLCREST HOSPITAL PRYOR |
| 370001 | HILLCREST MEDICAL CENTER |
| 370202 | HILLCREST HOSPITAL SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1305 E Taft, Okla Heart Institute, Sapulpa, OK 74066-6033 | 9182248425 | AHS OKLAHOMA HEART LLC |
| 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 | 9185920999 | AHS OKLAHOMA HEART LLC |
| Organization Legal Name | AHS OKLAHOMA HEART LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Nichole Cornett | Physician Assistant | Ahs Oklahoma Heart LLC | 100 N Hickerson Dr, Okla Heart Institute, Cleveland, OK 74020-4003 |
| Saran D Oliver | Cardiovascular Disease (cardiology) | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Deborah Anne Palmer | Physician Assistant | Ahs Oklahoma Heart LLC | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 |
| Shannon L Marshal | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1023 E Cherry St B, Cushing, OK 74023-4105 |
| Kristopher Wayne Mcdonald | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Jordan A Brewster | Cardiac Electrophysiology | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Kristin M Pruitt | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Isaac H Edmonds | Physician Assistant | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Cristin M Bruns | Endocrinology | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Christian S Hanson | Endocrinology | Ahs Oklahoma Heart LLC | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 |
| Street Address |
1305 E TAFT OKLA HEART INSTITUTE |
| City | SAPULPA |
| State | OK |
| Zip | 74066-6033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Smith | Interventional Cardiology | Ahs Oklahoma Heart LLC | 1305 E Taft, Okla Heart Institute, Sapulpa, OK 74066-6033 |
| Robert Allen Bauer | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1305 E Taft, Sapulpa, OK 74066-6033 |
| Penni Y Garland | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1305 E Taft, Sapulpa, OK 74066-6033 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey M. Nichols | Chiropractic | 200 N Mission, Suite A, Sapulpa, OK 74066-3606 | |
| James Russell | Family Medicine | 308 S Main St, Sapulpa, OK 74066-4110 | |
| Kayla Warner | Nurse Practitioner | 124 E Dewey Ave, Suite A, Sapulpa, OK 74066-4204 | |
| Larry W Higgs | Optometry | Drs Higgs and Morris Optometrists Inc | 17 S Oak St, Sapulpa, OK 74066-4312 |
| Dennis M Morris | Optometry | Drs Higgs and Morris Optometrists Inc | 17 S Oak St, Sapulpa, OK 74066-4312 |
| Goldameir Akingbola | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Misty Dawn Stephens | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Jeremy Ransdell | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Jill Rae Johnson | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Sarah Renea Gilbert | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Find all physicians in zip 74066 | |||
| City | SAPULPA |
| Zip Code | 74066 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAPULPA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kassandre S Balocca.
| 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.