Jeremy B Moad (NPI# 1134325608, PAC ID# 0244411767) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1134325608 |
| PAC ID by PECOS | 0244411767 |
| Professional Enrollment ID | I20110216000843 |
| Full Name | Jeremy B Moad |
| Organization Legal Name | EDMOND PHYSICIAN SERVICES, LLC |
| Address |
105 S Bryant St 105 Edmond Pulmonology Edmond OK 73034-6330 |
| Phone Number | 4057152022 |
| Gender | M |
| Graduation Year | 2007 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 4284683954 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370093 | OU MEDICAL CENTER |
| 370049 | STILLWATER MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 105 S Bryant St, 105 Edmond Pulmonology, Edmond, OK 73034-6330 | 4057152022 | EDMOND PHYSICIAN SERVICES, LLC |
| Organization Legal Name | EDMOND PHYSICIAN SERVICES, LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Hull | Pulmonary Disease | Edmond Physician Services, LLC | 105 S Bryant St, 104 Edmond Pulmonology, Edmond, OK 73034-6330 |
| Mazen Zouwayhed | Pulmonary Disease | Edmond Physician Services, LLC | 105 S Bryant St, Edmond, OK 73034-6330 |
| Street Address |
105 S BRYANT ST 105 EDMOND PULMONOLOGY |
| City | EDMOND |
| State | OK |
| Zip | 73034-6330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Hull | Pulmonary Disease | Edmond Physician Services, LLC | 105 S Bryant St, 104 Edmond Pulmonology, Edmond, OK 73034-6330 |
| Mazen Zouwayhed | Pulmonary Disease | Edmond Physician Services, LLC | 105 S Bryant St, Edmond, OK 73034-6330 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Tubbesing | Nurse Practitioner | Ltac Hospital of Edmond, LLC | 1100 E 9th St, Edmond Amg Specialty Hospital LLC, Edmond, OK 73034-0000 |
| Erich H Muckala | Diagnostic Radiology | Kettering Network Radiologists Inc | 5000 Tower Bridge Ct, Edmond, OK 73034-0857 |
| Wenjia Zeng | Physical Medicine and Rehabilitation | 1964 Bella Sera Dr, Edmond, OK 73034-2516 | |
| Nitin Sawheny | Internal Medicine | 2074 Bella Sera Dr, Edmond, OK 73034-2525 | |
| Aamir Mohammad | General Practice | In Patient Care Physician Services LLC | 1409 Territories Dr, Edmond, OK 73034-2650 |
| Murray O Hamilton | Diagnostic Radiology | Virtual Radiologic Professionals LLC | 2114 Chiswick Rd, Edmond, OK 73034-2930 |
| William J Hale Ii | Orthopedic Surgery | 941 W I-35 Frontage Rd, Suite A D, Edmond, OK 73034-2994 | |
| Wendy Louise Parks | Nurse Practitioner | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Walter Scott Waugh Iii | Sports Medicine | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Ashlee M Waugh | Family Medicine | Intergrative Medical Solutions Pllc | 65 S Saint Blvd, Edmond, OK 73034-3051 |
| Find all physicians in zip 73034 | |||
| City | EDMOND |
| Zip Code | 73034 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | EDMOND + PULMONARY DISEASE |
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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.