Albert Arredondo Jr. (NPI# 1316917420, PAC ID# 0648363168) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1316917420 |
| PAC ID by PECOS | 0648363168 |
| Professional Enrollment ID | I20070829000534 |
| Full Name | Albert Arredondo Jr. |
| Organization Legal Name | SOUTHWESTERN PHYSICIAN SERVICES LLC |
| Address |
1602 Sw 82nd St Lawton OK 73505-9012 |
| Phone Number | 5805360077 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6305937772 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370097 | SOUTHWESTERN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1602 Sw 82nd St, Lawton, OK 73505-9012 | 5805360077 | SOUTHWESTERN PHYSICIAN SERVICES LLC |
| 5602 Sw Lee Blvd, Lawton, OK 73505-9635 | 5805310470 | SOUTHWESTERN PHYSICIAN SERVICES LLC |
| Organization Legal Name | SOUTHWESTERN PHYSICIAN SERVICES LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David A Hanley | Anesthesiology | Southwestern Physician Services LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Philip James Warren | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Mark V Vadney | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Dennis R Dodd | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Brian L Knight | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Holly D Register | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| James M Bashaw | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Bradley Maples | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Michael J Means | Certified Registered Nurse Anesthetist | Southwestern Physician Services LLC | 5602 Sw Lee Blvd, Lawton, OK 73505-9635 |
| Street Address |
1602 SW 82ND ST |
| City | LAWTON |
| State | OK |
| Zip | 73505-9012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steve O. Egwuonwu | Internal Medicine | Southwestern Surgical Affiliates, LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Sinisa M Trbovic | Psychiatry | Southwestern Surgical Affiliates, LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Dennis R Dodd | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Abel M Jurkowicz | Psychiatry | Southwestern Surgical Affiliates, LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Masooda Burki | Psychiatry | Southwestern Surgical Affiliates, LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Zoobia Mirza | Psychiatry | Southwestern Surgical Affiliates, LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Brian L Knight | Certified Registered Nurse Anesthetist (crna) | Southwestern Physician Services LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Jennifer Iris James | Family Medicine | Southwestern Surgical Affiliates, LLC | 1602 Sw 82nd St, Lawton, OK 73505-9012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kylie Danielle Starnes | Nurse Practitioner | Williams Medical Group Practice LLC | 6744 Nw Cache Rd, Lawton, OK 73505-2702 |
| Susan Ann Armour | Nurse Practitioner | Williams Medical Group Practice LLC | 6744 Nw Cache Rd, Lawton, OK 73505-2702 |
| Sameer Zafar | Family Medicine | Williams Medical Group Practice LLC | 6744 Nw Cache Rd, Lawton, OK 73505-2702 |
| James W Toy | Chiropractic | 7007 Nw Cache Rd, Lawton, OK 73505-2707 | |
| Douglas M Smith | Chiropractic | 7007 Nw Cache Rd, Lawton, OK 73505-2707 | |
| Mary P Cupit | Chiropractic | 5525 Nw Cache Rd, Suite 1, Lawton, OK 73505-3300 | |
| Krista J Gordon | Family Medicine | 5366 Nw Cache Rd, Suite 6, Lawton, OK 73505-3353 | |
| Brian K Rich | Interventional Pain Management | 5370 Nw Cache Rd, Suite 4, Lawton, OK 73505-3371 | |
| Jonathan D Barras | Certified Registered Nurse Anesthetist (crna) | 5370 Nw Cache Rd, Suite 4, Lawton, OK 73505-3371 | |
| Michael A Curtis | Optometry | Oklahoma Eye Institute | 5370 Nw Cache Rd, Suite 6, Lawton, OK 73505-3371 |
| Find all physicians in zip 73505 | |||
| City | LAWTON |
| Zip Code | 73505 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | LAWTON + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
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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.