Tessa R Tate (NPI# 1679093116, PAC ID# 5991079394) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1679093116 |
| PAC ID by PECOS | 5991079394 |
| Professional Enrollment ID | I20170925000702 |
| Full Name | Tessa R Tate |
| Organization Legal Name | SEMINOLE HMA LLC |
| Address |
2401 W Rangler Blvd Seminole OK 74868-1917 |
| Phone Number | 4053034611 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2264692664 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370229 | ALLIANCEHEALTH SEMINOLE |
| 370149 | ST ANTHONY SHAWNEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2401 W Rangler Blvd, Seminole, OK 74868-1917 | 4053034611 | SEMINOLE HMA LLC |
| Organization Legal Name | SEMINOLE HMA LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy A Kidwell | Family Medicine | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Brandi Strayhorn | Physician Assistant | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Marah Gail Canfield | Nurse Practitioner | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Stephen A Feuerborn | Family Medicine | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Kelly Lucas | Nurse Practitioner | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Amanda Kuehner | Nurse Practitioner | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Street Address |
2401 W RANGLER BLVD |
| City | SEMINOLE |
| State | OK |
| Zip | 74868-1917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy A Kidwell | Family Medicine | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Harry C Fisher | General Surgery | Seminole Hmpn, LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Brandi Strayhorn | Physician Assistant | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Robert J Silvy Ii | Certified Registered Nurse Anesthetist (crna) | Seminole Hmpn, LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Shanna Elaine Hampton | Internal Medicine | Seminole Hmpn, LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Marah Gail Canfield | Nurse Practitioner | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Stephen A Feuerborn | Family Medicine | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Kelly Lucas | Nurse Practitioner | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Amanda Kuehner | Nurse Practitioner | Seminole Hma LLC | 2401 W Rangler Blvd, Seminole, OK 74868-1917 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall L Kemp | Family Medicine | Seminole Clinic Pllc | 2403 W Wrangler Blvd A, Seminole, OK 74868-1900 |
| Ronald Eugene Pauls | Physician Assistant | Seminole Clinic Pllc | 2403 W Wrangler Blvd A, Seminole, OK 74868-1900 |
| Aaron Luther Bennett | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Jared Michael Adams | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Colin J Morgan | Family Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Melissa A Harris | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Andrew Vuong | Family Medicine | Emergency Physicians of Midwest City LLC | 2401 W Wrangler Blvd, Emergency Physicians of Midwest City LLC, Seminole, OK 74868-1917 |
| Jason Robert Moore | Emergency Medicine | Oklahoma Emergency Physician Partners Pllc | 2401 W Wrangler Blvd, Integris Seminole Medical Center, Seminole, OK 74868-1917 |
| Mustafa N Hyder | Family Practice | Seminole Hmpn, LLC | 2401 W Wrangler Blvd, Seminole, OK 74868-1917 |
| Nan Katherine Mcmahan | Physical Therapy | Action Physical Therapy and Rehabilitation, Pllc | 2309 N Milt Phillips Ave, Suite B, Seminole, OK 74868-2328 |
| Find all physicians in zip 74868 | |||
| City | SEMINOLE |
| Zip Code | 74868 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SEMINOLE + 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.