Jacqueline C Giudice (NPI# 1780057646, PAC ID# 0345544292) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780057646 |
| PAC ID by PECOS | 0345544292 |
| Professional Enrollment ID | I20160212001442 |
| Full Name | Jacqueline C Giudice |
| Organization Legal Name | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Address |
700 W 7th Ave 6 Bristow Medical Center Bristow OK 74102 |
| Phone Number | 9183672215 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 7719115344 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370041 | BRISTOW MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 | 9183672215 | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Organization Legal Name | BRISTOW ENDEAVOR HEALTHCARE, LLC |
| Physicians | 25 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary A Ward | Physician Assistant | Bristow Endeavor Healthcare, LLC | 900 W Truck Bypass, Drumright Healthcare Center, Drumright, OK 74030 |
| Frank Hubbard | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Daniel D Fields | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Lisa K Leifheit | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Donald L Cooper | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Ernest A Proo | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Jeffery Stamps | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Steven J Finley | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Fred J Crapse Jr. | General Surgery | Bristow Endeavor Healthcare, LLC | 3029 W Main St, Ctr for Ortho Recon Excellence, Jenks, OK 74037-3465 |
| Sarah Pinson | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Street Address |
700 W 7TH AVE 6 BRISTOW MEDICAL CENTER |
| City | BRISTOW |
| State | OK |
| Zip | 74102 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Frank Hubbard | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Daniel D Fields | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Lisa K Leifheit | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Donald L Cooper | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Jeffery Stamps | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Steven J Finley | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Sarah Pinson | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Bradley D. Lowery | Family Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Joseph A. Cardello | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Kristin L Sells | Physician Assistant | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 5, Bristow, OK 74010-2302 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas W Brant Jr. | General Practice | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Ashley A Cooper | Nurse Practitioner | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, 6 Bristow Medical Center, Bristow, OK 74102 |
| Carl R Smith | Family Practice | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Suite 6, Bristow, OK 74102 |
| Jean J Bernard | Physical Medicine and Rehabilitation | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Bristow, OK 74102 |
| Linda M Hickman | Internal Medicine | Bristow Endeavor Healthcare, LLC | 700 W 7th Ave, Bristow, OK 74102 |
| City | BRISTOW |
| Zip Code | 74102 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRISTOW + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jacqueline C Giudice.
| 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.