Elizabeth R Kinzie (NPI# 1760450472, PAC ID# 2365636354) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1760450472 |
| PAC ID by PECOS | 2365636354 |
| Professional Enrollment ID | I20101103001173 |
| Full Name | Elizabeth R Kinzie |
| Organization Legal Name | INTEGRIS BASS BAPTIST HEALTH CENTER |
| Address |
1084 Nickerson St Integris Waynoka Family Clinic Waynoka OK 73860-1245 |
| Phone Number | 5808242291 |
| Gender | F |
| Medical School | MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE |
| Graduation Year | 1997 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PSYCHIATRY |
| Group Practice PAC ID | 0345151981 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371341 | |
| 370016 | INTEGRIS BASS BAPTIST HEALTH CENTER |
| 370002 | ALLIANCEHEALTH WOODWARD |
| 370026 | ST MARY'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1084 Nickerson St, Integris Waynoka Family Clinic, Waynoka, OK 73860-1245 | 5808242291 | INTEGRIS BASS BAPTIST HEALTH CENTER |
| Organization Legal Name | INTEGRIS BASS BAPTIST HEALTH CENTER |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Molly Kay Partee | Nurse Practitioner | Integris Bass Baptist Health Center | 415 S Osage St, Caldwell Family, Caldwell, KS 67022-1650 |
| Charlene Ea Reust | Physician Assistant | Integris Bass Baptist Health Center | 1084 Nickerson St, Integris Waynoka Family Clinic, Waynoka, OK 73860-1245 |
| David A. Neumann Ii | Gastroenterology | Integris Bass Baptist Health Center | 707 S Monroe St, Integris Bass Specialty Gastroenterology, Enid, OK 73701-7286 |
| Linda S Woodruff | Nurse Practitioner | Integris Bass Baptist Health Center | 158 E Sunset Dr B, Integris Medford Family Clinic, Medford, OK 73759-2401 |
| Clinton G Wallis | Gastroenterology | Integris Bass Baptist Health Center | 707 S Monroe St, Integris Bass Specialty Gastroenterology, Enid, OK 73701-7286 |
| Sumit A Walia | Gastroenterology | Integris Bass Baptist Health Center | 707 S Monroe St, Integris Bass Specialty Gastroenterology, Enid, OK 73701-7286 |
| Salman Nusrat | Gastroenterology | Integris Bass Baptist Health Center | 600 S Monroe St, Enid, OK 73701-7211 |
| Neil E Crittenden | Gastroenterology | Integris Bass Baptist Health Center | 707 S Monroe St, Integris Bass Specialty Gastroenterology, Enid, OK 73701-7286 |
| Jeffrey D Scott | Gastroenterology | Integris Bass Baptist Health Center | 707 S Monroe St, Integris Bass Specialty Gastroenterology, Enid, OK 73701-7286 |
| Carl A Raczkowski | Gastroenterology | Integris Bass Baptist Health Center | 707 S Monroe St, Integris Bass Specialty Gastroenterology, Enid, OK 73701-7286 |
| Street Address |
1084 NICKERSON ST INTEGRIS WAYNOKA FAMILY CLINIC |
| City | WAYNOKA |
| State | OK |
| Zip | 73860-1245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charlene Ea Reust | Physician Assistant | Integris Bass Baptist Health Center | 1084 Nickerson St, Integris Waynoka Family Clinic, Waynoka, OK 73860-1245 |
| Jeffrey S Schwerdtfeger | Physician Assistant | Integris Bass Baptist Health Center | 1084 Nickerson St, Waynoka, OK 73860-1245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan M Hull | Internal Medicine | 1630 Santa Fe St, Waynoka, OK 73860-3946 |
| City | WAYNOKA |
| Zip Code | 73860 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WAYNOKA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Elizabeth R Kinzie.
| 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.