Susan Rose (NPI# 1073544250, PAC ID# 3779619788) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1073544250 |
| PAC ID by PECOS | 3779619788 |
| Professional Enrollment ID | I20100330000091 |
| Full Name | Susan Rose |
| Organization Legal Name | SURGERY INC |
| Address |
12455 E 100th St N Owasso OK 74055-4600 |
| Phone Number | 9187442505 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9436255999 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 12455 E 100th St N, Owasso, OK 74055-4600 | 9187442505 | SURGERY INC |
| Organization Legal Name | SURGERY INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lawrence Brotherton | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Timothy W Hepner | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Stephen D Bruns | General Surgery | Surgery Inc | 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 |
| Justin T Atherton | General Surgery | Surgery Inc | 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 |
| Rocky M Morgan | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Street Address |
12455 E 100TH ST N |
| City | OWASSO |
| State | OK |
| Zip | 74055-4600 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Leanne Thompson | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Chad J Edwards | Optometry | Owasso Eye Institute Inc | 12455 E 100th St N, Suite 110, Owasso, OK 74055-4600 |
| Vanessa E Bennett | Optometry | Owasso Eye Institute Inc | 12455 E 100th St N, Suite 110, Owasso, OK 74055-4600 |
| Lawrence Brotherton | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Roger K Pfeiffer | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Timothy W Hepner | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Navin Kilambi | Orthopedic Surgery | Tulsa Bone and Joint Associates PC | 12455 E 100th St N, Owasso, OK 74055-4674 |
| Martiann A Bohl-witchey | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Caleb Nunley | Sports Medicine | Tulsa Bone and Joint Associates PC | 12455 E 100th St N, Owasso, OK 74055-4674 |
| Kimberly A Sorensen | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman Wayne Hinkle | Optometry | Drs. Hinkle and Cash Opt,, Inc. | 12720 E 86 St N, Owasso, OK 74055 |
| David Lee Cash | Optometry | Drs. Hinkle and Cash Opt,, Inc. | 12720 E 86 St N, Owasso, OK 74055 |
| Michael William Gaydos | Optometry | 8430 N 123rd E Ave, Owasso, OK 74055-2130 | |
| Russell D Cox | Chiropractic | 8434 N 123rd E Ave, Owasso, OK 74055-2130 | |
| Stephen N Warren | Chiropractic | 8361 N Owasso Expy, Suite E, Owasso, OK 74055-2179 | |
| Donald B Cobb | Optometry | 12406 E 86th St N, Owasso, OK 74055-2500 | |
| Lanita R Thomas | Optometry | Thomas Eye Care PC | 12406 E 86th St N, Owasso, OK 74055-2500 |
| Tracy L Standridge | Chiropractic | 12707 E 86th St N, Owasso, OK 74055-2506 | |
| Craig S Corson | Emergency Medicine | Medexpress Urgent Care, PC - Oklahoma | 11760 E 86th St N, Medexpress Urgent Care Owasso E 86th St N, Owasso, OK 74055-2533 |
| Jan Jay Rigney | Optometry | 11880 E 86th St N, Owasso, OK 74055-2535 | |
| Find all physicians in zip 74055 | |||
| City | OWASSO |
| Zip Code | 74055 |
| Specialty | GENERAL SURGERY |
| City + Specialty | OWASSO + GENERAL SURGERY |
Please comment or provide details below to improve the information on Susan Rose.
| 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.