John R Wedlake (NPI# 1215221478, PAC ID# 6709192115) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1215221478 |
| PAC ID by PECOS | 6709192115 |
| Professional Enrollment ID | I20150831002863 |
| Full Name | John R Wedlake |
| Organization Legal Name | STILLWATER NEUROLOGY LLC |
| Address |
1201 S Adams St Stillwater OK 74074-5476 |
| Phone Number | 4055332060 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2860708260 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370049 | STILLWATER MEDICAL CENTER |
| 370006 | PONCA CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1201 S Adams St, Stillwater, OK 74074-5476 | 4055332060 | STILLWATER NEUROLOGY LLC |
| Organization Legal Name | STILLWATER NEUROLOGY LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy K Alberty | Nurse Practitioner | Stillwater Neurology LLC | 1201 S Adams St, Stillwater, OK 74074-5476 |
| Street Address |
1201 S ADAMS ST |
| City | STILLWATER |
| State | OK |
| Zip | 74074-5476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marshall D Shaw | Urology | Stillwater Medical Center Authority | 1201 S Adams St, Stillwater, OK 74074-5476 |
| Donald E Crawley | Otolaryngology | Stillwater Medical Center Authority | 1201 S Adams St, Sw Otolaryngology, Stillwater, OK 74074-5476 |
| Amy O Hardin | Pediatric Medicine | Stillwater Medical Center Authority | 1201 S Adams St, Sw Inter Medicine/pediat, Stillwater, OK 74074-5476 |
| Elisa A Davis | Internal Medicine | Stillwater Medical Center Authority | 1201 S Adams St, Stillwater Pediatrics, Stillwater, OK 74074-5476 |
| Stephen Edward Smalley | Pediatric Medicine | Stillwater Medical Center Authority | 1201 S Adams St, Sw Inter Medicine/pediat, Stillwater, OK 74074-5476 |
| Amy K Alberty | Nurse Practitioner | Stillwater Neurology LLC | 1201 S Adams St, Stillwater, OK 74074-5476 |
| Krystal Marie Voight | Internal Medicine | Stillwater Medical Center Authority | 1201 S Adams St, Stillwater Pediatrics, Stillwater, OK 74074-5476 |
| Christopher J Goff | Otolaryngology | Stillwater Medical Center Authority | 1201 S Adams St, Sw Otolaryngology, Stillwater, OK 74074-5476 |
| Nathan J Rademaker | Urology | Stillwater Medical Center Authority | 1201 S Adams St, Stillwater, OK 74074-5476 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles R Horner Jr. | Diagnostic Radiology | Stillwater Radiology LLC | 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549 |
| Brandon R Mason | Diagnostic Radiology | Stillwater Radiology LLC | 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549 |
| Phillip G Russell | Diagnostic Radiology | Stillwater Radiology LLC | 4721 W 6th Ave, Suite 130, Stillwater, OK 74074-1549 |
| Kenda G Baker | Physician Assistant | Oliver Street 5.01(a) Inc. | 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854 |
| Thomas C Hall | Dermatology | Oliver Street 5.01(a) Inc. | 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854 |
| Deanna J Cummings | Physician Assistant | Oliver Street 5.01(a) Inc. | 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854 |
| Sara K Metcalf | Dermatology | Oliver Street 5.01(a) Inc. | 1329 S Sangre Rd, Us Dermatology Partners, Stillwater, OK 74074-1854 |
| J Weston H. Reese | Chiropractic | Reese Chiropractic and Wellness, P.C. | 1505 S Sangre Rd, Stillwater, OK 74074-1869 |
| Ashton Nicole Shelton | Chiropractic | Reese Chiropractic and Wellness, P.C. | 1505 S Sangre Rd, Stillwater, OK 74074-1869 |
| Jennifer Pauline Childers | Clinical Social Worker | Jennifer Childers Lcsw Counseling LLC | 2324 W 7th Pl, Stillwater, OK 74074-1927 |
| Find all physicians in zip 74074 | |||
| City | STILLWATER |
| Zip Code | 74074 |
| Specialty | NEUROLOGY |
| City + Specialty | STILLWATER + 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.