Mollie Tanner (NPI# 1902468341, PAC ID# 4981933132) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1902468341 |
| PAC ID by PECOS | 4981933132 |
| Professional Enrollment ID | I20190912002578 |
| Full Name | Mollie Tanner |
| Organization Legal Name | STILLWATER MEDICAL CENTER AUTHORITY |
| Address |
1002 E Cherry St Cushing OK 74023-4102 |
| Phone Number | 9183064515 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2365353794 |
| Number of Group Practice Members | 126 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370049 | STILLWATER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1002 E Cherry St, Cushing, OK 74023-4102 | 9183064515 | STILLWATER MEDICAL CENTER AUTHORITY |
| Organization Legal Name | STILLWATER MEDICAL CENTER AUTHORITY |
| Physicians | 110 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaime Lyn Griffith | Family Medicine | Stillwater Medical Center Authority | 600 S Linwood Ave A, Cushing Primary Care, Cushing, OK 74023-4630 |
| Rahmah Hall | Physician Assistant | Stillwater Medical Center Authority | 1412 Fir St, Perry, OK 73077-5036 |
| Jeremiah Bro | Nurse Practitioner | Stillwater Medical Center Authority | 1301 W 6th Ave, Suite 207, Stillwater, OK 74074-4381 |
| Catherine Kindt | Nurse Practitioner | Stillwater Medical Center Authority | 1815 W 6th Ave, Stillwater Med C Clinic W, Stillwater, OK 74074-2402 |
| Julia K Fell | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Jon M Johnson Ii | Internal Medicine | Stillwater Medical Center Authority | 608 S Hester, Stillwater, OK 74074-4516 |
| Marshall A Walker | Optometry | Stillwater Medical Center Authority | 707 S Western Rd, Stillwater, OK 74074-4126 |
| Mindy A Mcgee | Physician Assistant | Stillwater Medical Center Authority | 414 W Hwy 64, Morrison, OK 73061-9494 |
| William R Ford | Obstetrics/gynecology | Stillwater Medical Center Authority | 1411 W 7th Ave, 202 Sw Women's Clinic, Stillwater, OK 74074-4300 |
| Robert W Lauvetz | Urology | Stillwater Medical Center Authority | 816 S Pine St, Stillwater, OK 74074-4349 |
| Street Address |
1002 E CHERRY ST |
| City | CUSHING |
| State | OK |
| Zip | 74023-4102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Diane Noe | Physician Assistant | Stillwater Medical Center Authority | 1002 E Cherry St, Cushing, OK 74023-4102 |
| Ensa Katharine Pillow | Ophthalmology | Britton Vision Associates Inc | 1002 E Cherry St, Cushing, OK 74023-4102 |
| Sarah Jane Laird | Nurse Practitioner | Stillwater Medical Center Authority | 1002 E Cherry St, Cushing, OK 74023-4102 |
| Amber K Reinecke | Physician Assistant | Stillwater Medical Center Authority | 1002 E Cherry St, Cushing, OK 74023-4102 |
| Deven R Elliott | Nurse Practitioner | Stillwater Medical Center Authority | 1002 E Cherry St, Cushing, OK 74023-4102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amber Wright | Clinical Social Worker | 321 E Main St, Cushing, OK 74023-2643 | |
| Jessica F Zwanziger | Optometry | Cushing Vision Center PC | 2013 E Main St, Cushing, OK 74023-2910 |
| Robert D Mullins | Chiropractic | 1236 E Main St, Cushing, OK 74023-3000 | |
| Kasey P Simpson | Physical Therapy | 1525 E Main St, Cushing, OK 74023-3039 | |
| Laura Lynn Simpson | Physical Therapy | 1525 E Main St, Cushing, OK 74023-3039 | |
| Clinton W Beeson | Family Medicine | Pipeline Emergency Physicians LLC | 1027 E Cherry St, Hillcrest Hosp Cushing, Cushing, OK 74023-4101 |
| Charles William Olson Jr. | Family Medicine | Pipeline Emergency Physicians LLC | 1027 E Cherry St, Hillcrest Hosp Cushing, Cushing, OK 74023-4101 |
| James R Patterson | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1027 E Cherry St, Hc Hosp Cushing, Cushing, OK 74023-4101 |
| David W Campbell | Family Medicine | Pipeline Emergency Physicians LLC | 1027 E Cherry St, Hillcrest Hosp Cushing, Cushing, OK 74023-4101 |
| Billy C Beets Jr. | Family Medicine | Pipeline Emergency Physicians LLC | 1027 E Cherry St, Hillcrest Hosp Cushing, Cushing, OK 74023-4101 |
| Find all physicians in zip 74023 | |||
| City | CUSHING |
| Zip Code | 74023 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CUSHING + 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.