Lamont E Cavanagh (NPI# 1336111210, PAC ID# 1355242587) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is SPORTS MEDICINE.
| Nation Provider ID (NPI) | 1336111210 |
| PAC ID by PECOS | 1355242587 |
| Professional Enrollment ID | I20040120000258 |
| Full Name | Lamont E Cavanagh |
| Organization Legal Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Address |
591 E 36th St N Ou Physicians Tulsa Wayman Tisdale Clinic Tulsa OK 74106-1812 |
| Phone Number | 9186198720 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | SPORTS MEDICINE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 5395645329 |
| Number of Group Practice Members | 88 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370001 | HILLCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4444 E 41st St, Tulsa, OK 74135-2527 | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA | |
| 4444 E 41st St 2nd Floor B, Schusterman Center Clinic, Tulsa, OK 74135-2527 | 9186194000 | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| 5005 S Darlington Ave, Suite 100, Tulsa, OK 74135-7307 | 9186194400 | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 | 9186198720 | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| 8005 E 106th St, Ou Physicians Tulsa, Tulsa, OK 74133-6600 | 9186347600 | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA |
| Physicians | 103 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Landers | Sports Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| John Patick Laurent | Psychiatry | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 4444 E 41st St 2nd Floor B, Schusterman Center Clinic, Tulsa, OK 74135-2527 |
| Peter Richard Nelson | Vascular Surgery | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1919 S Wheeling, Suite 600, Tulsa, OK 74104-5635 |
| Brent Wayne Beasley | Internal Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Rebecca Beran Abraham | Family Practice | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1 Williams Ctr, Tulsa, OK 74172-0140 |
| John M Carment | Geriatric Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 4444 E 41st St, Suite A 3rd Floor, Tulsa, OK 74135-2527 |
| Tara R Buck | Psychiatry | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 4444 E 41st St, Suite B 3rd Floor, Tulsa, OK 74135-2527 |
| Fred Garfinkel | Pulmonary Disease | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1919 S Wheeling, Suite 600, Tulsa, OK 74104-5635 |
| Monica Tschirhart | Obstetrics/gynecology | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 4444 E 41st St, Suite B 3rd Floor, Tulsa, OK 74135-2527 |
| John Schumann | Internal Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 4444 E 41st St, Suite A 3rd Floor, Tulsa, OK 74135-2527 |
| Street Address |
591 E 36TH ST N OU PHYSICIANS TULSA WAYMAN TISDALE CLINIC |
| City | TULSA |
| State | OK |
| Zip | 74106-1812 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brent Wayne Beasley | Internal Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Ondria C Gleason | Psychiatry | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Jyl Curry | Physician Assistant | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Kristy M Griffith | Psychiatry | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Syed Hussain | Neurology | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Annlyn Armstrong | Clinical Social Worker | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Thomas J Kern | Sports Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| William D Butron | Internal Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| John E Cattaneo | Neurology | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Oliver A Cerqueira | Internal Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ulysses S Bowler Jr. | Emergency Medicine | 3606 N Cincinnati Ave, Tulsa, OK 74106-1536 | |
| Pete Jones | Family Medicine | 529 E 36th St N, Tulsa, OK 74106-1812 | |
| Laura Diane Orrick | Nurse Practitioner | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| James E Crutcher | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Jameca Price | Obstetrics/gynecology | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Kyle Josef Bielefeld | Cardiovascular Disease (cardiology) | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Leslie S Staubus | Internal Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Paul Benson | Pediatric Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Kimberly Schauer | Physician Assistant | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Shaun C Baranowski | Certified Nurse Midwife | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 591 E 36th St N, Ou Physicians Tulsa Wayman Tisdale Clinic, Tulsa, OK 74106-1812 |
| Find all physicians in zip 74106 | |||
| City | TULSA |
| Zip Code | 74106 |
| Specialty | SPORTS MEDICINE |
| City + Specialty | TULSA + SPORTS MEDICINE |
Please comment or provide details below to improve the information on Lamont E Cavanagh.
| 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.