Nicholas G Viyuoh (NPI# 1952410219, PAC ID# 2466348263) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1952410219 |
| PAC ID by PECOS | 2466348263 |
| Professional Enrollment ID | I20100518000715 |
| Full Name | Nicholas G Viyuoh |
| Organization Legal Name | SOUTHWEST MEDICAL CENTER |
| Address |
623 Ave C Beaver OK 73932-3126 |
| Phone Number | 5806252273 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 7517941651 |
| Number of Group Practice Members | 28 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 623 Ave C, Beaver, OK 73932-3126 | 5806252273 | SOUTHWEST MEDICAL CENTER |
| 421 Medical Dr, Guymon, OK 73942-3640 | 5803383135 | SOUTHWEST MEDICAL CENTER |
| 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 | 6206240702 | SOUTHWEST MEDICAL CENTER |
| Organization Legal Name | SOUTHWEST MEDICAL CENTER |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan M Furnish | Certified Nurse Midwife (cnm) | Southwest Medical Center | 623 Ave C, Beaver, OK 73932-3126 |
| Jose A Maeda | General Surgery | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Jacqueline Anne Woodrum | Family Medicine | Southwest Medical Center | 555 W 15th St, Liberal, KS 67901-2467 |
| Victoria Rachel Underwood | Nurse Practitioner | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Firas I. Kawtharani | Orthopedic Surgery | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Linsey K Carter | Nurse Practitioner | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Roman Pohorecki | Anesthesiology | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Nchang Mantoh Azefor | General Surgery | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Bruce Wayne Cook | Certified Registered Nurse Anesthetist (crna) | Southwest Medical Center | 315 W 15th St, Southwest Medical Center Anesthesia, Liberal, KS 67901-2455 |
| Imudia Dekonte Ehanire | General Surgery | Southwest Medical Center | 305 W 15th St, 102 Southwest Professional Physicians, Liberal, KS 67901-2455 |
| Street Address |
623 AVE C |
| City | BEAVER |
| State | OK |
| Zip | 73932-3126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Megan M Furnish | Certified Nurse Midwife (cnm) | Southwest Medical Center | 623 Ave C, Beaver, OK 73932-3126 |
| Allison B Bennett | Nurse Practitioner | Southwest Medical Center | 623 Ave C, Beaver, OK 73932-3126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trey D Carlisle | Optometry | 712 Ave A, Beaver, OK 73932-3101 | |
| Gary W Mathews | Family Medicine | 718 Ave A, Beaver, OK 73932-3101 |
| City | BEAVER |
| Zip Code | 73932 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BEAVER + OBSTETRICS/GYNECOLOGY |
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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.