Justin Plaxico (NPI# 1518996958, PAC ID# 8820079452) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1518996958 |
| PAC ID by PECOS | 8820079452 |
| Professional Enrollment ID | I20040528000222 |
| Full Name | Justin Plaxico |
| Organization Legal Name | MCALESTER MEDICAL SERVICES LLC |
| Address |
2 E Clark Bass Blvd 301 Southeast Clinic Mcalester OK 74501-4286 |
| Phone Number | 9184216846 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2000 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9931139029 |
| Number of Group Practice Members | 36 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370034 | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
| 370100 | CHOCTAW MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1590 W Liberty Rd, Atoka, OK 74525-1701 | 9184218966 | MCALESTER MEDICAL SERVICES LLC |
| 2 E Clark Bass Blvd, 301 Southeast Clinic, Mcalester, OK 74501-4286 | 9184216846 | MCALESTER MEDICAL SERVICES LLC |
| Organization Legal Name | MCALESTER MEDICAL SERVICES LLC |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Elizabeth Ogden | Nurse Practitioner | Mcalester Medical Services LLC | 111 W Forrest Ave B, Southeast Clinic Eufaula Uc, Eufaula, OK 74432-3205 |
| Daneal Chandel Dobbs | Nurse Practitioner | Mcalester Medical Services LLC | 3 E Clark Bass Blvd, 2 Southeast Clinic Urgent Care, Mcalester, OK 74501-4234 |
| Kamron Torbati | Obstetrics/gynecology | Mcalester Medical Services LLC | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Kelly Renee Finnerty | Nurse Practitioner | Mcalester Medical Services LLC | 111 W Forrest Ave B, Southeast Clinic Eufaula Uc, Eufaula, OK 74432-3205 |
| Charles H Moore | Cardiovascular Disease (cardiology) | Mcalester Medical Services LLC | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Carol Deann Gambrill | Family Medicine | Mcalester Medical Services LLC | 3 E Clark Bass Blvd, 2 Southeast Clinic Urgent Care, Mcalester, OK 74501-4234 |
| Martha E Greer | Nurse Practitioner | Mcalester Medical Services LLC | 4 E Clark Bass Blvd, 301 Ob/gyn, Mcalester, OK 74501-4269 |
| Michael R Grossman | Gastroenterology | Mcalester Medical Services LLC | 2 E Clark Bass Blvd, 301 Southeast Clinic, Mcalester, OK 74501-4286 |
| Amber Dawn Henson | Nurse Practitioner | Mcalester Medical Services LLC | 111 W Forrest Ave B, Southeast Clinic Eufaula Uc, Eufaula, OK 74432-3205 |
| Pedro Cardich | Neurology | Mcalester Medical Services LLC | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Street Address |
2 E CLARK BASS BLVD 301 SOUTHEAST CLINIC |
| City | MCALESTER |
| State | OK |
| Zip | 74501-4286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Grossman | Gastroenterology | Mcalester Medical Services LLC | 2 E Clark Bass Blvd, 301 Southeast Clinic, Mcalester, OK 74501-4286 |
| Michael Dell Mann | General Surgery | Mcalester Medical Services LLC | 2 E Clark Bass Blvd, 301 Southeast Clinic, Mcalester, OK 74501-4286 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolie K Mascoto | Chiropractic | 1609 N Strong Blvd, Mcalester, OK 74501-3839 | |
| Emory J Hilton | Podiatry | 1502 N Strong Blvd, Mcalester, OK 74501-3842 | |
| Amisty L Beck | Nurse Practitioner | Oklahoma Cancer Specialists and Research Institute, LLC | 901 N Strong Blvd, Mcalester, OK 74501-4206 |
| David W Hamblin | Urology | Oklahoma Cancer Specialists and Research Institute, LLC | 901 N Strong Blvd, Mcalester, OK 74501-4206 |
| Kamron Torbati | Obstetrics/gynecology | Mcalester Medical Services LLC | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Clarence Dallas Tarp | Certified Registered Nurse Anesthetist (crna) | Blue Sky Anesthesia Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| John Clay Bowen | Family Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Will Remington Goodrich | Emergency Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Bilal H Piracha | Family Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Rachel Maria Piston | Nurse Practitioner | Prime Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester Regional Hospital, Mcalester, OK 74501-4209 |
| Find all physicians in zip 74501 | |||
| City | MCALESTER |
| Zip Code | 74501 |
| Specialty | GENERAL SURGERY |
| City + Specialty | MCALESTER + GENERAL SURGERY |
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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.