Johnson C Gourd Jr. (NPI# 1043264732, PAC ID# 4587687322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043264732 |
| PAC ID by PECOS | 4587687322 |
| Professional Enrollment ID | I20060117001082 |
| Full Name | Johnson C Gourd Jr. |
| Organization Legal Name | ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS,INC. |
| Address |
619 N Main St Bldg D Muskogee OK 74401-4431 |
| Phone Number | 9186820222 |
| Gender | M |
| Credential | MD |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2961594916 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370171 | CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL |
| 370089 | NORTHEASTERN HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1001 S 41st St E, Three Rivers Health Center, Muskogee, OK 74403-6253 | 9186870201 | CHEROKEE NATION |
| 201 N 32nd St, Muskogee, OK 74401-2104 | 9189122333 | ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS,INC. |
| 619 N Main St, Bldg D, Muskogee, OK 74401-4431 | 9186820222 | ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS,INC. |
| 619 N Main St, Muskogee, OK 74401-4431 | 9186820222 | ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS,INC. |
| Organization Legal Name | ARKANSAS VERDIGRIS VALLEY HEALTH CENTERS,INC. |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley N Aldrich | Family Medicine | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Kendra Seccombe | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Alan L Brokenicky | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 619 N Main St, Bldg D, Muskogee, OK 74401-4431 |
| Jetta D Ange | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jennifer Lyn Stickelmeyer | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Stephanie J Garrett | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Caitlin M Ashley | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Street Address |
619 N MAIN ST BLDG D |
| City | MUSKOGEE |
| State | OK |
| Zip | 74401-4431 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lindsay Nordwald | Obstetrics/gynecology | Hutchinson Clinic Pa Inc | 619 N Main St, Mcpherson, KS 67460-3407 |
| Alan L Brokenicky | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 619 N Main St, Bldg D, Muskogee, OK 74401-4431 |
| Tricia Gilligan | Physician Assistant | Hutchinson Clinic Pa Inc | 619 N Main St, Mcpherson, KS 67460-3407 |
| Debra A Stone | Certified Clinical Nurse Specialist (cns) | Green Country Behavioral Health Services, Inc. | 619 N Main St, Muskogee, OK 74401-4431 |
| Brian M Billings | Family Medicine | Hutchinson Clinic Pa Inc | 619 N Main St, Mcpherson, KS 67460-3407 |
| Anda Marie Entz | Nurse Practitioner | Hutchinson Clinic Pa Inc | 619 N Main St, Mcpherson, KS 67460-3407 |
| Melanie R Senn | Physician Assistant | Hutchinson Clinic Pa Inc | 619 N Main St, Mcpherson, KS 67460-3407 |
| Holly D Wilkinson | Nurse Practitioner | Green Country Behavioral Health Services, Inc. | 619 N Main St, Muskogee, OK 74401-4431 |
| Savannah Lea Wilson | Physician Assistant | Hutchinson Clinic Pa Inc | 619 N Main St, Mcpherson, KS 67460-3407 |
| Michael A Wilson | Chiropractic | 619 N Main St, Cave City, AR 72521-9009 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Patton | Psychiatry | 841 N 38th St, Brentwood Extended Care and Rehab LLC, Muskogee, OK 74401-2056 | |
| Ashley N Aldrich | Family Medicine | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Kendra Seccombe | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jetta D Ange | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jennifer Lyn Stickelmeyer | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Stephanie J Garrett | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Caitlin M Ashley | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Erik E Paulson | Diagnostic Radiology | Landmark Cancer Center Gp LLC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Ravikumar Vasireddy | Hematology/oncology | Landmark Cancer Center Gp LLC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Bilal Ahmad | Hematology/oncology | Pinnacle Oncology Oklahoma PC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Find all physicians in zip 74401 | |||
| City | MUSKOGEE |
| Zip Code | 74401 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MUSKOGEE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Johnson C Gourd Jr..
| 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.