Susan B Grandle (NPI# 1013969625, PAC ID# 7618860388) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1013969625 |
| PAC ID by PECOS | 7618860388 |
| Professional Enrollment ID | I20110215000369 |
| Full Name | Susan B Grandle |
| Address |
5622 N Portland Ave Suite 102 Oklahoma City OK 73112-2000 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370220 | ONECORE HEALTH |
| 370028 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 5622 N Portland Ave, Suite 102, Oklahoma City, OK 73112-2000 |
| Street Address |
5622 N PORTLAND AVE SUITE 102 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73112-2000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mukesh Trikamdas Parekh | Obstetrics/gynecology | Northwest Obstetrics and Gynecology Pllc | 5622 N Portland Ave, Suite 240, Oklahoma City, OK 73112-2000 |
| Judy Fong | Obstetrics/gynecology | Northwest Obstetrics and Gynecology Pllc | 5622 N Portland Ave, Suite 240, Oklahoma City, OK 73112-2000 |
| Nimish M Parekh | Obstetrics/gynecology | Northwest Obstetrics and Gynecology Pllc | 5622 N Portland Ave, Suite 240, Oklahoma City, OK 73112-2000 |
| Linda J Truitt | Obstetrics/gynecology | 5622 N Portland Ave, Suite 101, Oklahoma City, OK 73112-2000 | |
| Mary Kathryn Mercer | Internal Medicine | 5622 N Portland Ave, Oklahoma City, OK 73112-2000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William Byron Gentry | Chiropractic | 4435 Nw36th St A, Oklahoma City, OK 73112 | |
| Xiomara J Porras | Nurse Practitioner | 6301 N Meridian Ave, Suite 103, Oklahoma City, OK 73112-1267 | |
| Dwight P Moyer | Chiropractic | 6301 N Meridian Ave, Suite 101, Oklahoma City, OK 73112-1267 | |
| David T Rothwell | Family Medicine | 6312 N Portland, Parcway Rehab Ctr, Oklahoma City, OK 73112-1463 | |
| Laurie Jill Hast | Diagnostic Radiology | 5800 N Portland Ave, Oklahoma City, OK 73112-1661 | |
| Roy W Bankhead | Urology | Medical Specialists Inc | 5700 N Portland Ave, Suite 100, Oklahoma City, OK 73112-1662 |
| Bassam Arodak | Endocrinology | Integris Ambulatory Care Corporation | 5701 N Portland Ave, Suite 220, Oklahoma City, OK 73112-1670 |
| Lauranne Harris | Obstetrics/gynecology | 3300 Nw Expressway, Oklahoma City, OK 73112-1670 | |
| Edward Duane Jones | Ophthalmology | 5701 N Portland Ave, Suite 105, Oklahoma City, OK 73112-1670 | |
| Amy Christina Costner | Nurse Practitioner | Integris Ambulatory Care Corporation | 5701 N Portland Ave, Suite 320, Oklahoma City, OK 73112-1670 |
| Find all physicians in zip 73112 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OKLAHOMA CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Susan B Grandle.
| 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.