Bruce Pettigrove (NPI# 1154351310, PAC ID# 5799892667) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1154351310 |
| PAC ID by PECOS | 5799892667 |
| Professional Enrollment ID | I20101227000589 |
| Full Name | Bruce Pettigrove |
| Organization Legal Name | TULSA EYE CONSULTANTS, INC. |
| Address |
6606 S Yale Ave Suite 220 Tulsa OK 74136-3376 |
| Phone Number | 9184924122 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 4082801808 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370216 | TULSA SPINE & SPECIALTY HOSPITAL, LLC |
| Address | Phone | Organization |
|---|---|---|
| 6606 S Yale Ave, Suite 220, Tulsa, OK 74136-3376 | 9184924122 | TULSA EYE CONSULTANTS, INC. |
| Organization Legal Name | TULSA EYE CONSULTANTS, INC. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amelia D Cheatham | Optometry | Tulsa Eye Consultants, Inc. | 6606 S Yale Ave, Suite 220, Tulsa, OK 74136-3376 |
| James Anthamatten | Ophthalmology | Tulsa Eye Consultants, Inc. | 6606 S Yale Ave, Suite 220, Tulsa, OK 74136-3376 |
| Street Address |
6606 S YALE AVE SUITE 220 |
| City | TULSA |
| State | OK |
| Zip | 74136-3376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Walter Garrett Iii | Ophthalmology | 6606 S Yale Ave, Suite 205, Tulsa, OK 74136-3376 | |
| Amelia D Cheatham | Optometry | Tulsa Eye Consultants, Inc. | 6606 S Yale Ave, Suite 220, Tulsa, OK 74136-3376 |
| James Anthamatten | Ophthalmology | Tulsa Eye Consultants, Inc. | 6606 S Yale Ave, Suite 220, Tulsa, OK 74136-3376 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgar J Kranau | Psychologist, Clinical | 6216 S Lewis Ave, Suite 164, Tulsa, OK 74136-1017 | |
| Monica Waukea Hamer | Clinical Social Worker | 6216 S Lewis Ave, Suite 103, Tulsa, OK 74136-1017 | |
| Andrea Byers | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Janine Krause | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Kristine G Siegenthaler | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Kelli Dawn Kelley | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Samantha R Cannon | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Amy E Kroll | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Beverly P Rice | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Sally Townsend-wellons | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Find all physicians in zip 74136 | |||
| City | TULSA |
| Zip Code | 74136 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | TULSA + OPHTHALMOLOGY |
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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.