Gregory P Kelley (NPI# 1043256019, PAC ID# 7517030216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1043256019 |
| PAC ID by PECOS | 7517030216 |
| Professional Enrollment ID | I20100506001056 |
| Full Name | Gregory P Kelley |
| Organization Legal Name | THE PHYSICIANS GROUP, LLC |
| Address |
13190 Ne 23rd St Choctaw OK 73020-8621 |
| Phone Number | 4057697201 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8325950603 |
| Number of Group Practice Members | 86 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370203 | COMMUNITY HOSPITAL, LLC |
| 370093 | OU MEDICAL CENTER |
| 370094 | ALLIANCEHEALTH MIDWEST |
| Address | Phone | Organization |
|---|---|---|
| 13190 Ne 23rd St, Choctaw, OK 73020-8621 | 4057697201 | THE PHYSICIANS GROUP, LLC |
| 10021 S Western Ave, Oklahoma City, OK 73139-2927 | 4056929300 | THE PHYSICIANS GROUP, LLC |
| Organization Legal Name | THE PHYSICIANS GROUP, LLC |
| Physicians | 79 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerardo M Myrin | Orthopedic Surgery | The Physicians Group, LLC | 3115 Sw, 89th, Oklahoma City, OK 73159-7901 |
| Katrina C Stewart | Physician Assistant | The Physicians Group, LLC | 10021 S Western Ave, Oklahoma City, OK 73139-2927 |
| Allison L Duncan | Nurse Practitioner | The Physicians Group, LLC | 1616 S Kelly Ave, Edmond, OK 73013-3651 |
| Barney E Blue | Family Medicine | The Physicians Group, LLC | 6922 S Western Ave, Suite 101, Oklahoma City, OK 73139-1804 |
| Steven D Brown | Internal Medicine | The Physicians Group, LLC | 7530 Nw 23rd St, Bethany, OK 73008-4921 |
| Amaza A Tripp | Nurse Practitioner | The Physicians Group, LLC | 7530 Nw 23rd St, Bethany, OK 73008-4921 |
| Edwin K. King | Family Medicine | The Physicians Group, LLC | 10021 S Western Ave, Oklahoma City, OK 73139-2927 |
| Dawn R Wilson | Obstetrics/gynecology | The Physicians Group, LLC | 10021 S Western Ave, Oklahoma City, OK 73139-2927 |
| Russell D Ingram | Family Medicine | The Physicians Group, LLC | 7530 Nw 23rd St, Bethany, OK 73008-4921 |
| Danielle M Moss | Nurse Practitioner | The Physicians Group, LLC | 10021 S Western Ave, Oklahoma City, OK 73139-2927 |
| Street Address |
13190 NE 23RD ST |
| City | CHOCTAW |
| State | OK |
| Zip | 73020-8621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey M Hogan | Physical Therapy | Ptms 3.0 LLC | 14890 Se 29th St, Choctaw, OK 73020-3515 |
| Preston T Runyan | Physical Therapy | Ptms 3.0 LLC | 14890 Se 29th St, Choctaw, OK 73020-3515 |
| Sara M Botchlet | Nurse Practitioner | Choctaw Womens Clinic Pllc | 14890 Se 29th St, Suite 106, Choctaw, OK 73020-3516 |
| Gail A Poyner | Clinical Psychologist | 14453 Se 29th St, Suite D, Choctaw, OK 73020-6543 | |
| Tara Goodson | Chiropractic | 2060 Harper St, Choctaw, OK 73020-8051 | |
| Brianne Lea Porter | Physical Therapy | Oklahoma Physical Therapy Choctaw | 1960 N Harper, Suite B, Choctaw, OK 73020-8095 |
| Benjamin R Martin | Physical Therapy | Oklahoma Physical Therapy Choctaw | 1960 N Harper, Suite B, Choctaw, OK 73020-8095 |
| Derek E. Lehman | Physical Therapy | Oklahoma Physical Therapy Choctaw | 1960 N Harper, Suite B, Choctaw, OK 73020-8095 |
| Cary L Carpenter | Family Medicine | 15809 Ne 23rd St, Choctaw, OK 73020-8428 | |
| Billy G Sanders | Physician Assistant | Cary Carpenter, M.d. P.C. | 15809 Ne 23rd St, Choctaw, OK 73020-8428 |
| Find all physicians in zip 73020 | |||
| City | CHOCTAW |
| Zip Code | 73020 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHOCTAW + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Gregory P Kelley.
| 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.