Carol L Hagan (NPI# 1609281658, PAC ID# 7012230865) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1609281658 |
PAC ID by PECOS | 7012230865 |
Professional Enrollment ID | I20141231000121 |
Full Name | Carol L Hagan |
Organization Legal Name | JANET FANNING MD PC |
Address |
416 Sw 79th St Suite 100 Oklahoma City OK 73139-8121 |
Phone Number | 4057024777 |
Gender | F |
Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2013 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 0840410940 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3717 S Western Ave, Oklahoma City, OK 73154-3401 | 4056016000 | MY FAMILY CLINIC LLC |
416 Sw 79th St, Suite 100, Oklahoma City, OK 73139-8121 | 4057024777 | JANET FANNING MD PC |
Organization Legal Name | JANET FANNING MD PC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janet L Fanning | Family Medicine | Janet Fanning Md PC | 416 Sw 79th St, Suite 100, Oklahoma City, OK 73139-8121 |
Street Address |
416 SW 79TH ST SUITE 100 |
City | OKLAHOMA CITY |
State | OK |
Zip | 73139-8121 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janet L Fanning | Family Medicine | Janet Fanning Md PC | 416 Sw 79th St, Suite 100, Oklahoma City, OK 73139-8121 |
Name | Specialty | Organization | Address |
---|---|---|---|
Samuel C Bernhardt | Family Practice | 6521 S Western Ave, Oklahoma City, OK 73139-1714 | |
Jim Ray Muse | Chiropractic | Chiropractic Arts Center, Inc. | 6825 S Western Ave, Oklahoma City, OK 73139-1801 |
Kyle W Muse | Chiropractic | Chiropractic Arts Center, Inc. | 6825 S Western Ave, Oklahoma City, OK 73139-1801 |
Barney E Blue | Family Medicine | The Physicians Group, LLC | 6922 S Western Ave, Suite 101, Oklahoma City, OK 73139-1804 |
Tonya C Matson | Nurse Practitioner | The Physicians Group, LLC | 6922 S Western Ave, Suite 101, Oklahoma City, OK 73139-1804 |
Somer A Ray | Optometry | 6922 S Western Ave, Suite 104, Oklahoma City, OK 73139-1804 | |
Ben G Nguyen | Family Practice | Get Well Family Medicine Pllc | 7300 S Western Ave, Oklahoma City, OK 73139-2002 |
Sheila S Newcomb | Obstetrics/gynecology | Ob Gyn Associates LLC | 6501 S Western Ave, Suite 101, Oklahoma City, OK 73139-2011 |
Lee P Frye | Obstetrics/gynecology | Ob Gyn Associates LLC | 6501 S Western Ave, Suite 101, Oklahoma City, OK 73139-2011 |
Anthony D Jackson | Obstetrics/gynecology | Ob Gyn Associates LLC | 6501 S Western Ave, Suite 101, Oklahoma City, OK 73139-2011 |
Find all physicians in zip 73139 |
City | OKLAHOMA CITY |
Zip Code | 73139 |
Specialty | NURSE PRACTITIONER |
City + Specialty | OKLAHOMA CITY + 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.