Vicky L Weidner (NPI# 1770540221, PAC ID# 4284535394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1770540221 |
| PAC ID by PECOS | 4284535394 |
| Professional Enrollment ID | I20040120000660 |
| Full Name | Vicky L Weidner |
| Organization Legal Name | BIRD CREEK EMERGENCY PHYSICIANS LLC |
| Address |
10502 N 110th E Ave Bailey Medical Center Owasso OK 74055-6655 |
| Phone Number | 9183768000 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1984 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 8022312057 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370113 | INTEGRIS GROVE HOSPITAL |
| 370228 | BAILEY MEDICAL CENTER, LLC |
| 370240 |
| Address | Phone | Organization |
|---|---|---|
| 1001 E 18th St, Integris Grove Gen Hospital, Grove, OK 74344-2907 | 9187862243 | EMERGENCY SERVICES OF OKLAHOMA PC |
| 10502 N 110th E Ave, Bailey Medical Center, Owasso, OK 74055-6655 | 9183768000 | BIRD CREEK EMERGENCY PHYSICIANS LLC |
| Organization Legal Name | BIRD CREEK EMERGENCY PHYSICIANS LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin T Cooper | Family Medicine | Bird Creek Emergency Physicians LLC | 10502 N 110th E Ave, Bailey Medical Center, Owasso, OK 74055-6655 |
| Dawn M Lovins | Emergency Medicine | Bird Creek Emergency Physicians LLC | 10502 N 110th E Ave, Bailey Medical Center, Owasso, OK 74055-6655 |
| Street Address |
10502 N 110TH E AVE BAILEY MEDICAL CENTER |
| City | OWASSO |
| State | OK |
| Zip | 74055-6655 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Elaine Ramos | Internal Medicine | Ahs Oklahoma Physician Group LLC | 10502 N 110th E Ave, Owasso, OK 74055-6655 |
| Martin T Cooper | Family Medicine | Bird Creek Emergency Physicians LLC | 10502 N 110th E Ave, Bailey Medical Center, Owasso, OK 74055-6655 |
| Grace R Kennedy | Pulmonary Disease | Ahs Oklahoma Physician Group LLC | 10502 N 110th E Ave, Owasso, OK 74055-6655 |
| Breece M Eberley | Internal Medicine | Ahs Oklahoma Physician Group LLC | 10502 N 110th E Ave, Owasso, OK 74055-6655 |
| Chika C Okwufulueze | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10502 N 110th E Ave, Owasso, OK 74055-6655 |
| Dawn M Lovins | Emergency Medicine | Bird Creek Emergency Physicians LLC | 10502 N 110th E Ave, Bailey Medical Center, Owasso, OK 74055-6655 |
| Angela D Huffman | Anesthesiology | Clinical Partners Pa | 10502 N 110th E Ave, Owasso, OK 74055-6655 |
| Michelle D Omeara | Family Practice | Ahs Oklahoma Physician Group LLC | 10502 N 110th E Ave, Owasso, OK 74055-6655 |
| 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 | EMERGENCY MEDICINE |
| City + Specialty | OWASSO + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Vicky L Weidner.
| 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.