Kasi Whatley (NPI# 1386169555, PAC ID# 3779859921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1386169555 |
| PAC ID by PECOS | 3779859921 |
| Professional Enrollment ID | I20171016003403 |
| Full Name | Kasi Whatley |
| Organization Legal Name | SOUTHERN PLAINS MEDICAL CENTER, INC |
| Address |
504 Williams Maysville OK 73057-3679 |
| Phone Number | 5802475936 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5991618969 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370158 | PURCELL MUNICIPAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 504 Williams, Maysville, OK 73057-3679 | 5802475936 | SOUTHERN PLAINS MEDICAL CENTER, INC |
| Organization Legal Name | SOUTHERN PLAINS MEDICAL CENTER, INC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michelle Martin | Nurse Practitioner | Southern Plains Medical Center, Inc | 106 Burr Ave, Pauls Valley, OK 73075-3848 |
| Jay Belt | Family Medicine | Southern Plains Medical Center, Inc | 1104 E Central Blvd, Anadarko, OK 73005-4406 |
| Raymond L Cornelison | Dermatology | Southern Plains Medical Center, Inc | 2222 W Iowa Ave, Chickasha, OK 73018-2738 |
| Deborah L Nilson | Neurology | Southern Plains Medical Center, Inc | 2222 W Iowa Ave, Chickasha, OK 73018-2738 |
| Shaun A Hajjari | Optometry | Southern Plains Medical Center, Inc | 2222 W Iowa Ave, Chickasha, OK 73018-2738 |
| Nancy W Dever | Obstetrics/gynecology | Southern Plains Medical Center, Inc | 2222 W Iowa Ave, Chickasha, OK 73018-2738 |
| Virginia L Harr | General Surgery | Southern Plains Medical Center, Inc | 1104 E Central Blvd, Anadarko, OK 73005-4406 |
| Teagan Dorsey | Nurse Practitioner | Southern Plains Medical Center, Inc | 2222 W Iowa Ave, Chickasha, OK 73018-2738 |
| John Gearhart | Ophthalmology | Southern Plains Medical Center, Inc | 2222 W Iowa Ave, Chickasha, OK 73018-2738 |
| Karen Maluf | Internal Medicine | Southern Plains Medical Center, Inc | 2222 W Iowa Ave, Chickasha, OK 73018-2738 |
| Street Address |
504 WILLIAMS |
| City | MAYSVILLE |
| State | OK |
| Zip | 73057-3679 |
| City | MAYSVILLE |
| Zip Code | 73057 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MAYSVILLE + NURSE PRACTITIONER |
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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.