Gary Mitchell Seymour (NPI# 1992744486, PAC ID# 9537130406) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1992744486 |
PAC ID by PECOS | 9537130406 |
Professional Enrollment ID | I20110829000297 |
Full Name | Gary Mitchell Seymour |
Organization Legal Name | STATHEALTH CLINIC GARY SEYMOUR, ARNP NURSE PRACTITIONER |
Address |
805 Se Washington St Idabel OK 74745-3331 |
Phone Number | 5802861095 |
Gender | M |
Credential | NP |
Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
Graduation Year | 1998 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 2769652858 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450324 | TEXOMA MEDICAL CENTER |
670076 | BAYLOR SCOTT AND WHITE SURGICAL HOSPITAL AT SHERMA |
Address | Phone | Organization |
---|---|---|
805 Se Washington St, Idabel, OK 74745-3331 | 5802861095 | STATHEALTH CLINIC GARY SEYMOUR, ARNP NURSE PRACTITIONER |
Organization Legal Name | STATHEALTH CLINIC GARY SEYMOUR, ARNP NURSE PRACTITIONER |
Physicians | 1 |
Street Address |
805 SE WASHINGTON ST |
City | IDABEL |
State | OK |
Zip | 74745-3331 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kerri Lea Seymour | Nurse Practitioner | 805 Se Washington St, Idabel, OK 74745-3331 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darin Shupert | Optometry | 124 Seavenue N, Idabel, OK 74745 | |
Maila A. Coleman | Pediatric Medicine | Kiamichi Family Medical Center Inc. | 601 Se Washington St, Idabel, OK 74745-3319 |
William Martin | General Practice | Kiamichi Family Medical Center Inc. | 601 Se Washington St, Idabel, OK 74745-3319 |
Beth L Leader | General Practice | Kiamichi Family Medical Center Inc. | 601 Se Washington St, Idabel, OK 74745-3319 |
Thomas A Jones | Family Practice | Kiamichi Family Medical Center Inc. | 601 Se Washington St, Idabel, OK 74745-3319 |
Eric L Ensley | Chiropractic | 1420 Se Washington, Idabel, OK 74745-3448 | |
Scott M Grigory | Pediatric Medicine | 1 W Main St, 100 My Doctor Pediatrics, Idabel, OK 74745-4655 | |
Jane M Harmon | Nurse Practitioner | 108 S Central Ave, Idabel, OK 74745-4848 | |
Kristen Michelle Clouse | Nurse Practitioner | 108 S Central Ave, Idabel, OK 74745-4848 | |
Sandi Moore | Clinical Social Worker | 209 Se Ave N, Idabel, OK 74745-5728 | |
Find all physicians in zip 74745 |
City | IDABEL |
Zip Code | 74745 |
Specialty | NURSE PRACTITIONER |
City + Specialty | IDABEL + NURSE PRACTITIONER |
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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.