Mandy Rutter (NPI# 1063781623, PAC ID# 2860650066) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1063781623 |
| PAC ID by PECOS | 2860650066 |
| Professional Enrollment ID | I20120220000460 |
| Full Name | Mandy Rutter |
| Organization Legal Name | EMERGENCHEALTH LLC |
| Address |
111 N Bailey St Hc Hosp Pryor Pryor OK 74361-4201 |
| Phone Number | 9188251600 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 1355606641 |
| Number of Group Practice Members | 203 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370202 | HILLCREST HOSPITAL SOUTH |
| 370001 | HILLCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 111 N Bailey St, Hc Hosp Pryor, Pryor, OK 74361-4201 | 9188251600 | EMERGENCHEALTH LLC |
| 4800 S 109th E Ave, Tulsa, OK 74146-5822 | 9187422502 | SOONER ANESTHESIA SERVICES, LLC |
| 8803 S 101st E Ave, Utica Park Clinic, Tulsa, OK 74133-5726 | NORTON CRNA PLLC | |
| 9709 E 79th St, Uber Group Healthcare, Tulsa, OK 74133-4566 | 9189944000 | NORTON CRNA PLLC |
| Organization Legal Name | EMERGENCHEALTH LLC |
| Physicians | 199 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clinton Alsup | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 10512 N 110th E Ave, Bailey Med Ctr, Owasso, OK 74055-6636 |
| Chad Martinez | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 505 S John Redditt Dr, Woodland Heights Medical Center, Lufkin, TX 75904-3120 |
| Jonathan B Phillips | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1310 Paluxy Rd, Granbury, TX 76048-5655 |
| Ted W Holmes | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 600 Elizabeth St, Christus Spohn Hospital Corpus Christi Shoreline, Corpus Christi, TX 78404-2235 |
| David M. Schiessler | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 6250 Us Hwy 83, Suite 84, Abilene, TX 79606-5215 |
| Robert H Baker | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 850 W Central Texas Expy, Seton Medical Center Harker Heights, Harker Heights, TX 76548-1890 |
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Daniel S Pennington | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 10512 N 110th E Ave, Bailey Med Ctr, Owasso, OK 74055-6636 |
| Thomas R Leblanc | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Street Address |
111 N BAILEY ST HC HOSP PRYOR |
| City | PRYOR |
| State | OK |
| Zip | 74361-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori M Ormsby | Certified Clinical Nurse Specialist (cns) | Healogics Specialty Physicians of Oklahoma Pllc | 111 N Bailey St, Pryor, OK 74361-4201 |
| David M White | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 111 N Bailey St, Hc Hosp Pryor, Pryor, OK 74361-4201 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Richard E Martin | Internal Medicine | 122 N Bailey, Pryor, OK 74361 | |
| Steven L Dill | Family Medicine | 114 Dri, Pryor, OK 74361 | |
| Shannon Antoinette Rowland | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 231 E Graham Ave, Pryor, OK 74361-2436 |
| Donald L Peters | Chiropractic | 2 S Mayes St, Pryor, OK 74361-3232 | |
| Arthur L Sixkiller | Chiropractic | 108 S Adair St, Pryor, OK 74361-3602 | |
| Mania Hill-u | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 109 N Fairland St, Pryor, OK 74361-4203 |
| Brett M Howell | Optometry | Howell Family Eye Care, Inc. | 2 S Rowe St, Pryor, OK 74361-4623 |
| Phillip C Ford | Optometry | Howell Family Eye Care, Inc. | 2 S Rowe St, Pryor, OK 74361-4623 |
| Douglas Bryant Pearson I | Optometry | 11 S Rowe St, Pryor, OK 74361-4626 | |
| Michael Fullerton | Optometry | 202 S Adair St, Pryor, OK 74361-5202 | |
| Find all physicians in zip 74361 | |||
| City | PRYOR |
| Zip Code | 74361 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | PRYOR + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.