Mark D Callery (NPI# 1548246895, PAC ID# 1254393812) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1548246895 |
| PAC ID by PECOS | 1254393812 |
| Professional Enrollment ID | I20041027000623 |
| Full Name | Mark D Callery |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
10215 N 110th E Ave Suite 200 Owasso OK 74055-6638 |
| Phone Number | 9183768840 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 2003 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9436122496 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370228 | BAILEY MEDICAL CENTER, LLC |
| Address | Phone | Organization |
|---|---|---|
| 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 | 9183768840 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Physicians | 266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammie Wall Kelley | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Lisa Mask Bull | Dermatology | Ahs Oklahoma Physician Group LLC | 9245 S Mingo Rd, Tulsa, OK 74133-5793 |
| Kelsey Spencer | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 2400 N Hwy 66 B, Utica Park Clinic Catoosa, Catoosa, OK 74015-3074 |
| Valerie Anne Mitchell | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Christina Lou Martin | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 1551 N 9th St, Utica Park Clinic Broken Arrow North, Broken Arrow, OK 74012-8898 |
| Kristine Elaine Bryant | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Elwood F Williams Iii | Interventional Pain Management | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Ave, 100 Utica Park Clinic, Tulsa, OK 74133-7546 |
| Jaclyn Duvall | Neurology | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Avenue, 280 Utica Park Clinic Neurology South, Tulsa, OK 74133-5783 |
| Aimee K Musgrove | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 6528 E 101st St, Suite I, Tulsa, OK 74133-6754 |
| Jeannette Windschitl | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 |
| Street Address |
10215 N 110TH E AVE SUITE 200 |
| City | OWASSO |
| State | OK |
| Zip | 74055-6638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeannette Windschitl | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman Wayne Hinkle | Optometry | Drs. Hinkle and Cash Opt,, Inc. | 12720 E 86 St N, Owasso, OK 74055 |
| David Lee Cash | Optometry | Drs. Hinkle and Cash Opt,, Inc. | 12720 E 86 St N, Owasso, OK 74055 |
| Michael William Gaydos | Optometry | 8430 N 123rd E Ave, Owasso, OK 74055-2130 | |
| Russell D Cox | Chiropractic | 8434 N 123rd E Ave, Owasso, OK 74055-2130 | |
| Stephen N Warren | Chiropractic | 8361 N Owasso Expy, Suite E, Owasso, OK 74055-2179 | |
| Donald B Cobb | Optometry | 12406 E 86th St N, Owasso, OK 74055-2500 | |
| Lanita R Thomas | Optometry | Thomas Eye Care PC | 12406 E 86th St N, Owasso, OK 74055-2500 |
| Tracy L Standridge | Chiropractic | 12707 E 86th St N, Owasso, OK 74055-2506 | |
| Craig S Corson | Emergency Medicine | Medexpress Urgent Care, PC - Oklahoma | 11760 E 86th St N, Medexpress Urgent Care Owasso E 86th St N, Owasso, OK 74055-2533 |
| Jan Jay Rigney | Optometry | 11880 E 86th St N, Owasso, OK 74055-2535 | |
| Find all physicians in zip 74055 | |||
| City | OWASSO |
| Zip Code | 74055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OWASSO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Mark D Callery.
| 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.