Unknown Individual – Cardiovascular Disease Physician, NPI 1124096813
Cardiovascular Disease Physician
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Provider Addresses for Unknown Individual
350, South 40th Street, Muskogee, Muskogee County, Oklahoma, 74401, United States
CCOM MEDICAL GROUP
MUSKOGEE, OK 744014915
Phone: (918) 683-0753
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 74401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 73110 | X-ray of wrist, minimum of 3 views | 21 | 21 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 73630 | X-ray of foot, minimum of 3 views | 70 | 67 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 78452 | Nuclear medicine study of vessels of heart using drugs or exercise multiple studies | 215 | 201 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 85610 | Blood test, clotting time | 637 | 114 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1807 | 971 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 93284 | Evaluation, testing and programming adjustment of defibrillator with analysis, review and report | 15 | 12 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | OK | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 414 | 217 |
Group practice members
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