Jordan A Brewster (NPI# 1023282423, PAC ID# 9234420852) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1023282423 |
| PAC ID by PECOS | 9234420852 |
| Professional Enrollment ID | I20160628002842 |
| Full Name | Jordan A Brewster |
| Organization Legal Name | AHS OKLAHOMA HEART LLC |
| Address |
1265 S Utica Ave Suite 300 Tulsa OK 74104-4243 |
| Phone Number | 9185920999 |
| Gender | M |
| Medical School | UNIVERSITY OF VIRGINIA SCHOOL OF MEDICINE |
| Graduation Year | 2008 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Group Practice PAC ID | 4587737135 |
| Number of Group Practice Members | 98 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370001 | HILLCREST MEDICAL CENTER |
| 370202 | HILLCREST HOSPITAL SOUTH |
| 370183 | HILLCREST HOSPITAL HENRYETTA |
| Address | Phone | Organization |
|---|---|---|
| 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 9185920999 | AHS OKLAHOMA HEART LLC |
| 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 | 9185920999 | AHS OKLAHOMA HEART LLC |
| Organization Legal Name | AHS OKLAHOMA HEART LLC |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Nichole Cornett | Physician Assistant | Ahs Oklahoma Heart LLC | 100 N Hickerson Dr, Okla Heart Institute, Cleveland, OK 74020-4003 |
| Saran D Oliver | Cardiovascular Disease (cardiology) | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Deborah Anne Palmer | Physician Assistant | Ahs Oklahoma Heart LLC | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 |
| Kassandre S Balocca | Physician Assistant | Ahs Oklahoma Heart LLC | 1305 E Taft, Okla Heart Institute, Sapulpa, OK 74066-6033 |
| Shannon L Marshal | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1023 E Cherry St B, Cushing, OK 74023-4105 |
| Kristopher Wayne Mcdonald | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Kristin M Pruitt | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Isaac H Edmonds | Physician Assistant | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Cristin M Bruns | Endocrinology | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Christian S Hanson | Endocrinology | Ahs Oklahoma Heart LLC | 9228 S Mingo Rd, Suite 200, Tulsa, OK 74133-5722 |
| Street Address |
1265 S UTICA AVE SUITE 300 |
| City | TULSA |
| State | OK |
| Zip | 74104-4243 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saran D Oliver | Cardiovascular Disease (cardiology) | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Kristopher Wayne Mcdonald | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Kristin M Pruitt | Nurse Practitioner | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Isaac H Edmonds | Physician Assistant | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Cristin M Bruns | Endocrinology | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Candace Carr | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Hoda Butrous | Advanced Heart Failure and Transplant Cardiology | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Lisa Lee | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Wayne N Leimbach Jr. | Interventional Cardiology | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Adam C Betz | Critical Care (intensivists) | Ahs Oklahoma Heart LLC | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Patrick | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Monte Harrel | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Curtis V Wolf Ii | Ophthalmology | 1145 S Utica Ave, Suite 362, Tulsa, OK 74104-4004 | |
| Kay L Worley | Neurology | Neuro Links of Tulsa, L.L.C. | 1145 S Utica Ave, Suite 901, Tulsa, OK 74104-4005 |
| Gabriela Corsi Vasquez | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Sristi Bhattarai | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Stephan Hambaz | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Zubair Ashraf | Rheumatology | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4010 | |
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Find all physicians in zip 74104 | |||
| City | TULSA |
| Zip Code | 74104 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | TULSA + CARDIAC ELECTROPHYSIOLOGY |
Please comment or provide details below to improve the information on Jordan A Brewster.
| 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.