Samara Janel Jack (NPI# 1245550433, PAC ID# 6103015086) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1245550433 |
| PAC ID by PECOS | 6103015086 |
| Professional Enrollment ID | I20110107000198 |
| Full Name | Samara Janel Jack |
| Organization Legal Name | ST JOHN URGENT CARE CLINICS INC |
| Address |
1717 S Utica Ave Suite A Tulsa OK 74104-5346 |
| Phone Number | 9187481300 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890898084 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 | 9187481300 | ST JOHN URGENT CARE CLINICS INC |
| 8131 S Memorial Dr, Suite 102, Tulsa, OK 74133-4348 | 9188726880 | ST JOHN URGENT CARE CLINICS INC |
| Organization Legal Name | ST JOHN URGENT CARE CLINICS INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Pojezny | Family Medicine | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Zachary A Fowler | Family Medicine | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Roger L Moore | Physician Assistant | St John Urgent Care Clinics Inc | 1910 S Falcon Ave, Claremore, OK 74019-2237 |
| Anna Mae Marie Kay | Physician Assistant | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Samuel H. Elzay | Physician Assistant | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Gina Leanne Anderson | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Kelly D Mullman | Physician Assistant | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Demi Cook | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Rachel Beth Ray | Family Medicine | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Ricky Atwood | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Street Address |
1717 S UTICA AVE SUITE A |
| City | TULSA |
| State | OK |
| Zip | 74104-5346 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Pojezny | Family Medicine | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Gina Leanne Anderson | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Kelly D Mullman | Physician Assistant | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Walter J Peters Jr. | Ophthalmology | The Eye Institute Inc | 1717 S Utica Ave, Suite 107, Tulsa, OK 74104-5317 |
| Demi Cook | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Rachel Beth Ray | Family Medicine | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Ricky Atwood | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Carleen D Carlisle | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Lynn Tudor | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Eric Christian Gregory | Physician Assistant | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Patrick | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Monte Harrel | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Curtis V Wolf Ii | Ophthalmology | 1145 S Utica Ave, Suite 362, Tulsa, OK 74104-4004 | |
| Kay L Worley | Neurology | Neuro Links of Tulsa, L.L.C. | 1145 S Utica Ave, Suite 901, Tulsa, OK 74104-4005 |
| Gabriela Corsi Vasquez | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Sristi Bhattarai | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Stephan Hambaz | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Zubair Ashraf | Rheumatology | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4010 | |
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Find all physicians in zip 74104 | |||
| City | TULSA |
| Zip Code | 74104 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TULSA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Samara Janel Jack.
| 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.