Joseph R Johnson (NPI# 1457310658, PAC ID# 3870509532) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1457310658 |
| PAC ID by PECOS | 3870509532 |
| Professional Enrollment ID | I20060307000409 |
| Full Name | Joseph R Johnson |
| Organization Legal Name | STATE OF OKLAHOMA |
| Address |
717 S Houston Ave Suite 200 Tulsa OK 74127-9005 |
| Phone Number | 9185864500 |
| Gender | M |
| Credential | DO |
| Graduation Year | 1994 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4486558962 |
| Number of Group Practice Members | 106 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370078 | OKLAHOMA STATE UNIVERSITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 | 9185864500 | STATE OF OKLAHOMA |
| 717 S Houston Ave, Tulsa, OK 74127-9005 | 9185864500 | STATE OF OKLAHOMA |
| Organization Legal Name | STATE OF OKLAHOMA |
| Physicians | 120 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heena N Patel | Psychiatry | State of Oklahoma | 900 E Main St, Griffin Memorial Hospital, Norman, OK 73071-5305 |
| Jennifer N Pettijohn | Clinical Social Worker | State of Oklahoma | 602 Sw, 38th Jim Taliaferro Cmhc, Lawton, OK 73505-6912 |
| Leslie Jeffries | Nurse Practitioner | State of Oklahoma | 1101 E Monroe Ave, Carl Albert Mental Health, Mcalester, OK 74501-4826 |
| Kevin Johnson | Psychiatry | State of Oklahoma | 2323 S Harvard Ave, Tcbh, Tulsa, OK 74114-3301 |
| Laurie C Clark | Family Medicine | State of Oklahoma | 14002 E 21st St, Suite 1130, Tulsa, OK 74134-1408 |
| Gloria Martz | Psychiatry | State of Oklahoma | 909 Alameda St, Norman, OK 73071-5229 |
| Roselyn M Bramwell | Clinical Social Worker | State of Oklahoma | 702 N Grand, Ncbh, Enid, OK 73701-3221 |
| Darrel E Schreiner | Psychiatry | State of Oklahoma | 602 Sw 38th St, Jtcmhc, Lawton, OK 73505-6912 |
| Sridevi Nagumalli | Psychiatry | State of Oklahoma | I Mile E Hwy 270, Western State Psychiatric, Fort Supply, OK 73841 |
| Madhuri J Lad | Internal Medicine | State of Oklahoma | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 |
| Street Address |
717 S HOUSTON AVE SUITE 200 |
| City | TULSA |
| State | OK |
| Zip | 74127-9005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Madhuri J Lad | Internal Medicine | State of Oklahoma | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 |
| Bethany Garcia | Nurse Practitioner | State of Oklahoma | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 |
| Lance T Frye | Obstetrics/gynecology | State of Oklahoma | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 |
| Erin E Brown | Obstetrics/gynecology | State of Oklahoma | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 |
| Kaleb T. Veit | Internal Medicine | State of Oklahoma | 717 S Houston Ave, Suite 200, Tulsa, OK 74127-9005 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerome B Wade | Neurology | J. Wade M. D. - Neurology, P.C. | 2526 W Edison, Tulsa, OK 74127 |
| Susanne P Thompson | Internal Medicine | 2526 W Edison St, Tulsa, OK 74127-6128 | |
| Richard D Raines | Cardiovascular Disease (cardiology) | Morton Comprehensive Health Services Inc | 6116 W 11th St, Tulsa, OK 74127-7330 |
| Rajinder Singh Gill | Urology | 802 S Jackson Ave, Tulsa, OK 74127-9015 | |
| Kimberlie K Dullye | Anesthesiology | Utb Anesthesia Pllc | 744 W 9th St, Tulsa, OK 74127-9020 |
| Marvin Y Jin | Psychiatry | 744 W, 9th Marvin Y Jin M.d., Tulsa, OK 74127-9020 | |
| Lea V Rollings | Anesthesiology | Utb Anesthesia Pllc | 744 W 9th St, Tulsa, OK 74127-9020 |
| Robert J Oly | Nurse Practitioner | Diagnostic Imaging Associates Inc | 744 W 9th St, Tulsa, OK 74127-9020 |
| Aaron H Relic | Anesthesiology | Utb Anesthesia Pllc | 744 W 9th St, Tulsa, OK 74127-9020 |
| Raymond W Smith | Diagnostic Radiology | Diagnostic Imaging Associates Inc | 744 W 9th St, Tulsa, OK 74127-9020 |
| Find all physicians in zip 74127 | |||
| City | TULSA |
| Zip Code | 74127 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | TULSA + 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.