Jerry K Coburn (NPI# 1083681159, PAC ID# 2769371301) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1083681159 |
| PAC ID by PECOS | 2769371301 |
| Professional Enrollment ID | I20101216000640 |
| Full Name | Jerry K Coburn |
| Organization Legal Name | DRS ODOM COBURN AND RICHARDSON PLLC |
| Address |
742 N York St Muskogee OK 74403-3866 |
| Phone Number | 9186892677 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1979 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6709077803 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 742 N York St, Muskogee, OK 74403-3866 | 9186892677 | DRS ODOM COBURN AND RICHARDSON PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | DRS ODOM COBURN AND RICHARDSON PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorrie Anne Richardson | Optometry | Drs Odom Coburn and Richardson Pllc | 742 N York St, Muskogee, OK 74403-3866 |
| Angela S Charlton | Optometry | Drs Odom Coburn and Richardson Pllc | 742 N York St, Muskogee, OK 74403-3866 |
| Street Address |
742 N YORK ST |
| City | MUSKOGEE |
| State | OK |
| Zip | 74403-3866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lorrie Anne Richardson | Optometry | Drs Odom Coburn and Richardson Pllc | 742 N York St, Muskogee, OK 74403-3866 |
| Angela S Charlton | Optometry | Drs Odom Coburn and Richardson Pllc | 742 N York St, Muskogee, OK 74403-3866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric E Rouse | Physical Therapy | Access 2healthcare Solutions Inc | 2244 E Shawnee Rd, Muskogee, OK 74403-1443 |
| Kari M Collier | Physical Therapy | Access 2healthcare Solutions Inc | 2244 E Shawnee Rd, Muskogee, OK 74403-1443 |
| Lacey M Schulz | Chiropractic | 2410 E Shawnee Rd, Suite C, Muskogee, OK 74403-1508 | |
| Penny B. Smythe | Optometry | 1157 N York St, Muskogee, OK 74403-2520 | |
| Bill D Parker | Optometry | 1157 N York St, Muskogee, OK 74403-2520 | |
| Stephanie D Rogers | Clinical Social Worker | 928 N York St, Suite 44b, Muskogee, OK 74403-3117 | |
| Lauren Rich | Clinical Social Worker | 928 N York St, Suite 12, Muskogee, OK 74403-3118 | |
| Debra L Hofer | Registered Dietitian Or Nutrition Professional | Healthcare Dining Solutions Inc | 928 N York St, Suite 20, Muskogee, OK 74403-3123 |
| Elliott M Kampf | Chiropractic | 811 N York St, 110 Elliot Chiropractor Center, Muskogee, OK 74403-3860 | |
| Karla L Rice | Optometry | 2300 Chandler Rd, Muskogee, OK 74403-4627 | |
| Find all physicians in zip 74403 | |||
| City | MUSKOGEE |
| Zip Code | 74403 |
| Specialty | OPTOMETRY |
| City + Specialty | MUSKOGEE + OPTOMETRY |
Please comment or provide details below to improve the information on Jerry K Coburn.
| 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.