Matthew Bryan Fowler (NPI# 1083904841, PAC ID# 8921228990) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083904841 |
| PAC ID by PECOS | 8921228990 |
| Professional Enrollment ID | I20140926000146 |
| Full Name | Matthew Bryan Fowler |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
701 E Main Jenks OK 74037-4316 |
| Phone Number | 9182982264 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436122496 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370202 | HILLCREST HOSPITAL SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 701 E Main, Jenks, OK 74037-4316 | 9182982264 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 | 9182459675 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Physicians | 266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammie Wall Kelley | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Lisa Mask Bull | Dermatology | Ahs Oklahoma Physician Group LLC | 9245 S Mingo Rd, Tulsa, OK 74133-5793 |
| Kelsey Spencer | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 2400 N Hwy 66 B, Utica Park Clinic Catoosa, Catoosa, OK 74015-3074 |
| Valerie Anne Mitchell | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Christina Lou Martin | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 1551 N 9th St, Utica Park Clinic Broken Arrow North, Broken Arrow, OK 74012-8898 |
| Kristine Elaine Bryant | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Elwood F Williams Iii | Interventional Pain Management | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Ave, 100 Utica Park Clinic, Tulsa, OK 74133-7546 |
| Jaclyn Duvall | Neurology | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Avenue, 280 Utica Park Clinic Neurology South, Tulsa, OK 74133-5783 |
| Aimee K Musgrove | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 6528 E 101st St, Suite I, Tulsa, OK 74133-6754 |
| Jeannette Windschitl | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 |
| Street Address |
701 E MAIN |
| City | JENKS |
| State | OK |
| Zip | 74037-4316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristine Elaine Bryant | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Estacia Diann Cooper | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Sarah R Elneser | Family Medicine | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Kayla J Hansen | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Danny E Thomason Jr. | Family Medicine | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Jason Macias | Internal Medicine | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra B Schroeder | Nurse Practitioner | 1201 W Main St, Main Street Family Clinic, Jenks, OK 74037-2311 | |
| Sarah E Arnold | Chiropractic | 9428 S Elwood, Suite 102, Jenks, OK 74037-2317 | |
| Karen J Morgan Vanderlick | Anesthesiology | 1916 W C St, Jenks, OK 74037-2367 | |
| Andrew R Briggeman | Physical Medicine and Rehabilitation | 1115 W 108th Pl S, Jenks, OK 74037-2428 | |
| Sharon R. Smith | Clinical Social Worker | Community Pathways Unlimited Inc | 711 N 5th St, Jenks, OK 74037-3343 |
| Brandon J Hadel | Optometry | Oklahoma Medical Eye Group Pllc | 244 S Gateway Pl, Suite 401, Jenks, OK 74037-3448 |
| Amy E Slama | Optometry | Oklahoma Medical Eye Group Pllc | 244 S Gateway Pl, Suite 401, Jenks, OK 74037-3448 |
| Eric Fernandez | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Hernan Aguilos | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| April L Phillips | Certified Registered Nurse Anesthetist (crna) | Integral Anesthesia LLC | 3029 W Main St, Jenks, OK 74037-3465 |
| Find all physicians in zip 74037 | |||
| City | JENKS |
| Zip Code | 74037 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | JENKS + FAMILY MEDICINE |
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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.