Kristen Paige Smith (NPI# 1588172415, PAC ID# 1759642473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1588172415 |
PAC ID by PECOS | 1759642473 |
Professional Enrollment ID | I20180220003016 |
Full Name | Kristen Paige Smith |
Organization Legal Name | ST JOHN URGENT CARE CLINICS INC |
Address |
1910 S Falcon Ave Claremore OK 74019-2237 |
Phone Number | 9183436855 |
Gender | F |
Graduation Year | 2017 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 5890898084 |
Number of Group Practice Members | 35 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370114 | ST JOHN MEDICAL CENTER, INC |
Address | Phone | Organization |
---|---|---|
1910 S Falcon Ave, Claremore, OK 74019-2237 | 9183436855 | ST JOHN URGENT CARE CLINICS INC |
402 W Morrow Rd, Sand Springs, OK 74063-6549 | 9182451119 | ST JOHN URGENT CARE CLINICS INC |
1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 | 9187481300 | ST JOHN URGENT CARE CLINICS INC |
8131 S Memorial Dr, Suite 102, Tulsa, OK 74133-4348 | 9188726880 | ST JOHN URGENT CARE CLINICS INC |
Organization Legal Name | ST JOHN URGENT CARE CLINICS INC |
Physicians | 33 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ashley Pojezny | Family Medicine | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
Zachary A Fowler | Family Medicine | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
Roger L Moore | Physician Assistant | St John Urgent Care Clinics Inc | 1910 S Falcon Ave, Claremore, OK 74019-2237 |
Anna Mae Marie Kay | Physician Assistant | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
Samuel H. Elzay | Physician Assistant | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
Gina Leanne Anderson | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
Kelly D Mullman | Physician Assistant | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
Samara Janel Jack | Physician Assistant | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
Demi Cook | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
Rachel Beth Ray | Family Medicine | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
Street Address |
1910 S FALCON AVE |
City | CLAREMORE |
State | OK |
Zip | 74019-2237 |
Name | Specialty | Organization | Address |
---|---|---|---|
Roger L Moore | Physician Assistant | St John Urgent Care Clinics Inc | 1910 S Falcon Ave, Claremore, OK 74019-2237 |
Virginia Corcoran | Physician Assistant | St John Urgent Care Clinics Inc | 1910 S Falcon Ave, Claremore, OK 74019-2237 |
Name | Specialty | Organization | Address |
---|---|---|---|
Caleb Michael Spreiter | Chiropractic | 25945s Hwy 66, Claremore, OK 74019-2468 |
City | CLAREMORE |
Zip Code | 74019 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | CLAREMORE + 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.