Weldon J Mallgren (NPI# 1841384021, PAC ID# 6002983343) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
Nation Provider ID (NPI) | 1841384021 |
PAC ID by PECOS | 6002983343 |
Professional Enrollment ID | I20080929000159 |
Full Name | Weldon J Mallgren |
Organization Legal Name | GRAND LAKE MENTAL HEALTH CENTER, INC. |
Address |
17599 S Hwy 88 Claremore OK 74017-0801 |
Phone Number | 9183428161 |
Gender | M |
Medical School | MICHIGAN COLLEGE OF MEDICINE AND SURGERY |
Graduation Year | 1993 |
Primary Specialty | PSYCHIATRY |
Group Practice PAC ID | 4688711534 |
Number of Group Practice Members | 14 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
12005 E 470 Rd, Claremore, OK 74017-3737 | 9183420770 | GRAND LAKE MENTAL HEALTH CENTER, INC. |
17599 S Hwy 88, Claremore, OK 74017-0801 | 9183428161 | GRAND LAKE MENTAL HEALTH CENTER, INC. |
Organization Legal Name | GRAND LAKE MENTAL HEALTH CENTER, INC. |
Physicians | 28 |
Name | Specialty | Organization | Address |
---|---|---|---|
Allie Beth Craig | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 604 S Walnut St, Stillwater, OK 74074-4222 |
Phyllis A Emery | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 700 Sw Penn Ave, Bartlesville, OK 74003-4331 |
Mania Hill-u | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 109 N Fairland St, Pryor, OK 74361-4203 |
Brent J Brewer | Physician Assistant | Grand Lake Mental Health Center, Inc. | 111 S Treaty Rd, Miami, OK 74354-5327 |
Shannon Antoinette Rowland | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 231 E Graham Ave, Pryor, OK 74361-2436 |
Stephanie Heaton | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 1115 Harbor Rd, Grove, OK 74344-3505 |
Greg Salzer | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 405 E Excelsior Ave, Vinita, OK 74301-4226 |
Amy Dawn Humphrey | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 138 S Main, Afton, OK 74331-1822 |
Julie D Finney | Physician Assistant | Grand Lake Mental Health Center, Inc. | 12005 E 470 Rd, Claremore, OK 74017-3737 |
Sheri Lyn Scott | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 12005 E 470 Rd, Claremore, OK 74017-3737 |
Street Address |
17599 S HWY 88 |
City | CLAREMORE |
State | OK |
Zip | 74017-0801 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela Gale Rhoten | Nurse Practitioner | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
Emily Fay Shearer | Nurse Practitioner | Grand Lake Mental Health Center, Inc. | 17599 S Hwy 88, Claremore, OK 74017-0801 |
Name | Specialty | Organization | Address |
---|---|---|---|
Karrie Cuttler | Qualified Audiologist | Ear Nose Throat and Allergy Center Pllc | 1715 N Lynn Riggs Boulevard, Claremore, OK 74017-1715 |
Benjamine M Welch | Otolaryngology | Ear Nose Throat and Allergy Center Pllc | 1715 N Lynn Riggs Boulevard, Claremore, OK 74017-1715 |
James Warren | Chiropractic | Rogers County Chiropractic, Inc. | 800 W Blue Starr Dr, Claremore, OK 74017-2817 |
Emily M Rigney | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
Julie E Hancox | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
Christopher James Martin | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
Jessica Davis | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
Travis Ryan Stafford | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
Madison L Nightengale | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
Bret A Mcguire | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1071 W Blue Starr Dr, Suite 105, Claremore, OK 74017-2868 |
Find all physicians in zip 74017 |
City | CLAREMORE |
Zip Code | 74017 |
Specialty | PSYCHIATRY |
City + Specialty | CLAREMORE + PSYCHIATRY |
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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.