Stephanie L Edwards (NPI# 1417412362, PAC ID# 2062745698) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417412362 |
| PAC ID by PECOS | 2062745698 |
| Professional Enrollment ID | I20190612003752 |
| Full Name | Stephanie L Edwards |
| Organization Legal Name | CLAREMORE HEALTH ASSOCIATES, INC |
| Address |
1408 N Florence Ave Claremore OK 74017-3159 |
| Phone Number | 9183411044 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0840214904 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370039 | HILLCREST HOSPITAL CLAREMORE |
| Address | Phone | Organization |
|---|---|---|
| 1408 N Florence Ave, Claremore, OK 74017-3159 | 9183411044 | CLAREMORE HEALTH ASSOCIATES, INC |
| Organization Legal Name | CLAREMORE HEALTH ASSOCIATES, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight Julius Korgan | Family Medicine | Claremore Health Associates, Inc | 1408 N Florence Ave, Claremore, OK 74017-3159 |
| Kathilee J. Matamoros | Nurse Practitioner | Claremore Health Associates, Inc | 1408 N Florence Ave, Claremore, OK 74017-3159 |
| Gary D Fortner | Family Medicine | Claremore Health Associates, Inc | 1408 N Florence Ave, Claremore, OK 74017-3159 |
| Street Address |
1408 N FLORENCE AVE |
| City | CLAREMORE |
| State | OK |
| Zip | 74017-3159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dwight Julius Korgan | Family Medicine | Claremore Health Associates, Inc | 1408 N Florence Ave, Claremore, OK 74017-3159 |
| Kathilee J. Matamoros | Nurse Practitioner | Claremore Health Associates, Inc | 1408 N Florence Ave, Claremore, OK 74017-3159 |
| Gary D Fortner | Family Medicine | Claremore Health Associates, Inc | 1408 N Florence Ave, Claremore, OK 74017-3159 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Weldon J Mallgren | Psychiatry | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
| Angela Gale Rhoten | Nurse Practitioner | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
| Emily Fay Shearer | Nurse Practitioner | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
| Karrie Cuttler | Qualified Audiologist | Ear Nose Throat and Allergy Center Pllc | 1715 N Lynn Riggs Boulevard, Claremore, OK 74017-1715 |
| Benjamine M Welch | Otolaryngology | Ear Nose Throat and Allergy Center Pllc | 1715 N Lynn Riggs Boulevard, Claremore, OK 74017-1715 |
| James Warren | Chiropractic | Rogers County Chiropractic, Inc. | 800 W Blue Starr Dr, Claremore, OK 74017-2817 |
| Emily M Rigney | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
| Julie E Hancox | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
| Christopher James Martin | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
| Jessica Davis | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
| Find all physicians in zip 74017 | |||
| City | CLAREMORE |
| Zip Code | 74017 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CLAREMORE + NURSE PRACTITIONER |
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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.