Addie B Gratz (NPI# 1669498051, PAC ID# 8224126834) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1669498051 |
| PAC ID by PECOS | 8224126834 |
| Professional Enrollment ID | I20071115000308 |
| Full Name | Addie B Gratz |
| Organization Legal Name | FIRST CHOICE WELLNESS CENTER LLC |
| Address |
9 N Main St Kingston OK 73439-6562 |
| Phone Number | 5805640500 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9234227836 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370047 | MERCY HOSPITAL ARDMORE, INC |
| 371304 | MERCY HOSPITAL TISHOMINGO INC |
| 371326 | ALLIANCEHEALTH MADILL |
| Address | Phone | Organization |
|---|---|---|
| 9 N Main St, Kingston, OK 73439-6562 | 5805640500 | FIRST CHOICE WELLNESS CENTER LLC |
| Organization Legal Name | FIRST CHOICE WELLNESS CENTER LLC |
| Physicians | 1 |
| Street Address |
9 N MAIN ST |
| City | KINGSTON |
| State | OK |
| Zip | 73439-6562 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John D Conley | Family Medicine | Marshall County Hma, LLC | 701 E Hwy 70, Pob 762, Kingston, OK 73439-0762 |
| Leah Cordell | Nurse Practitioner | 7 N Main St, Kingston, OK 73439-6562 | |
| Starla Ranee Harris | Nurse Practitioner | 7 N Main St, Kingston, OK 73439-6562 | |
| Ivora P Sensibaugh | Clinical Social Worker | 208 N Main, Kingston, OK 73439-8016 | |
| Joan W Davis | Clinical Social Worker | 208 N Main, Kingston, OK 73439-8016 | |
| Pamela Ahearn | Family Medicine | Lakeside Family Medicine | 714 Hwy 70 E, Kingston, OK 73439-8252 |
| Meghan Fomby | Nurse Practitioner | Lakeside Family Medicine | 714 Hwy 70 E, Kingston, OK 73439-8252 |
| Amy Lee Goedecke | Nurse Practitioner | Lakeside Family Medicine | 714 Hwy 70 E, Kingston, OK 73439-8252 |
| Katie L Green | Nurse Practitioner | Lakeside Family Medicine | 714 Hwy 70 E, Kingston, OK 73439-8252 |
| Tressa Matchen | Nurse Practitioner | Marshall County Hmpn, LLC | 701 Hwy 70 E, Kingston, OK 73439-8253 |
| Find all physicians in zip 73439 | |||
| City | KINGSTON |
| Zip Code | 73439 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | KINGSTON + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Addie B Gratz.
| 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.