Jaclyn Duvall (NPI# 1740541473, PAC ID# 5496042533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1740541473 |
| PAC ID by PECOS | 5496042533 |
| Professional Enrollment ID | I20160917000010 |
| Full Name | Jaclyn Duvall |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
8803 S 101st E Avenue 280 Utica Park Clinic Neurology South Tulsa OK 74133-5783 |
| Phone Number | 9185603823 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 9436122496 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370202 | HILLCREST HOSPITAL SOUTH |
| 370001 | HILLCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 8803 S 101st E Avenue, 280 Utica Park Clinic Neurology South, Tulsa, OK 74133-5783 | 9185603823 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Physicians | 266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammie Wall Kelley | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Lisa Mask Bull | Dermatology | Ahs Oklahoma Physician Group LLC | 9245 S Mingo Rd, Tulsa, OK 74133-5793 |
| Kelsey Spencer | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 2400 N Hwy 66 B, Utica Park Clinic Catoosa, Catoosa, OK 74015-3074 |
| Valerie Anne Mitchell | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Christina Lou Martin | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 1551 N 9th St, Utica Park Clinic Broken Arrow North, Broken Arrow, OK 74012-8898 |
| Kristine Elaine Bryant | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Elwood F Williams Iii | Interventional Pain Management | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Ave, 100 Utica Park Clinic, Tulsa, OK 74133-7546 |
| Aimee K Musgrove | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 6528 E 101st St, Suite I, Tulsa, OK 74133-6754 |
| Jeannette Windschitl | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 |
| Dae Yun Kim | Urology | Ahs Oklahoma Physician Group LLC | 1145 S Utica Ave, Suite 701, Tulsa, OK 74104-4019 |
| Street Address |
8803 S 101ST E AVENUE 280 UTICA PARK CLINIC NEUROLOGY SOUTH |
| City | TULSA |
| State | OK |
| Zip | 74133-5783 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Timothy J Gibson | Certified Registered Nurse Anesthetist (crna) | South Tulsa Anesthesia LLC | 9840 E 81 St, Suite 200, Tulsa, OK 74133 |
| Bernard N Robinowitz | Dermatology | Ahs Oklahoma Physician Group LLC | 8804 S 101st E Ave, Suite 385, Tulsa, OK 74133 |
| Courtney E White | Physical Therapy | 7345 S 99th E Ave, Empowerme Woodland Hills, Tulsa, OK 74133-1001 | |
| Brett M Enyart | Optometry | Triad Eye Institute Pllc | 8023 E 63rd Pl, Suite 500, Tulsa, OK 74133-1209 |
| Rebekah S Nunn | Chiropractic | 7615 E 63rd Pl, Suite 104, Tulsa, OK 74133-1231 | |
| Sandra A Mackey | Optometry | 8925 E 61st St, Suite A, Tulsa, OK 74133-1308 | |
| Jess T Roy | Family Medicine | 8316 E 61st Street, Neighborhood Walk In Medical Clinic, Tulsa, OK 74133-1908 | |
| Angela Dawn July | Nurse Practitioner | Rodi LLC | 8316 E 61st Street, Tulsa, OK 74133-1908 |
| Jessica Lynn Montesano | Chiropractic | Health Wise Chiropractic Inc PC | 9104 E 62nd St, Tulsa, OK 74133-1915 |
| Find all physicians in zip 74133 | |||
| City | TULSA |
| Zip Code | 74133 |
| Specialty | NEUROLOGY |
| City + Specialty | TULSA + NEUROLOGY |
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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.