Unknown Individual – Surgery Physician, NPI 1023271376
Surgery Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
East 111th Street North, Owasso, Tulsa County, Oklahoma, 74021, United States
OWASSO, OK 740556381
Phone: (423) 631-1904
Type: Mailing
Claremore Indian Hospital, 101, South Moore Avenue, Claremore, Rogers County, Oklahoma, 74017, United States
CLAREMORE, OK 740175047
Phone: (918) 342-6200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74055)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WY | |
| - | CO | |
| - | OH | |
| Cardiac Surgery, Thoracic Surgery, Vascular Surgery | CO | |
| - | CO | |
| - | CO | |
| - | CO | |
| - | TX | |
| - | CO | |
| Physician Assistant | CO |
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