Charles O Higdon Iii (NPI# 1306312830, PAC ID# 2062766843) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1306312830 |
| PAC ID by PECOS | 2062766843 |
| Professional Enrollment ID | I20181114000852 |
| Full Name | Charles O Higdon Iii |
| Organization Legal Name | RANAS FAMILY MEDICAL CLINIC PC |
| Address |
810 Hwy 2 N Wilburton OK 74578-3625 |
| Phone Number | 9184650170 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1052322948 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371337 | EASTERN OKLAHOMA MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 810 Hwy 2 N, Wilburton, OK 74578-3625 | 9184650170 | RANAS FAMILY MEDICAL CLINIC PC |
| Organization Legal Name | RANAS FAMILY MEDICAL CLINIC PC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald D Rana Jr. | Family Medicine | Ranas Family Medical Clinic PC | 810 Hwy 2 N, Wilburton, OK 74578-3625 |
| Street Address |
810 HWY 2 N |
| City | WILBURTON |
| State | OK |
| Zip | 74578-3625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald D Rana Jr. | Family Medicine | Ranas Family Medical Clinic PC | 810 Hwy 2 N, Wilburton, OK 74578-3625 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Grantham | Optometry | 218 W Main, Wilburton, OK 74578-4046 | |
| Stephenie Renee Ingram | Nurse Practitioner | 210 W Main St, Wilburton, OK 74578-4046 | |
| Richard E Ingram | Chiropractic | 208 W Main St, Wilburton, OK 74578-4046 | |
| Robert A Woodruff | Family Medicine | 311 W Main St, Wilburton, OK 74578-4047 | |
| Ahmer Hussain | Internal Medicine | 139 E Main St, Wilburton, OK 74578-4229 | |
| Ricardo M Valbuena | Family Medicine | 1107 W Main St, Wilburton, OK 74578-5011 |
| City | WILBURTON |
| Zip Code | 74578 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | WILBURTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Charles O Higdon Iii.
| 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.