Jennifer L O Stasik (NPI# 1447385091, PAC ID# 1355413568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1447385091 |
| PAC ID by PECOS | 1355413568 |
| Professional Enrollment ID | I20080703000392 |
| Full Name | Jennifer L O Stasik |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
1245 S Utica Ave 240 Utica Park Clinic Breast Surgery Tulsa OK 74104-4200 |
| Phone Number | 9185793840 |
| Gender | F |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Secondary Specialties | HEMATOLOGY |
| Group Practice PAC ID | 9436122496 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370001 | HILLCREST MEDICAL CENTER |
| 370039 | HILLCREST HOSPITAL CLAREMORE |
| 370183 | HILLCREST HOSPITAL HENRYETTA |
| 370202 | HILLCREST HOSPITAL SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 1245 S Utica Ave, 240 Utica Park Clinic Breast Surgery, Tulsa, OK 74104-4200 | 9185793840 | 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 |
1245 S UTICA AVE 240 UTICA PARK CLINIC BREAST SURGERY |
| City | TULSA |
| State | OK |
| Zip | 74104-4200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammie Wall Kelley | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Laura Kyle Brett | Hematology/oncology | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Maya I Kinmon | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Laurie W Flynn | Surgical Oncology | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Edwin L Mccreary | Hematology/oncology | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Amara Gayathri Nandikolla | Hematology/oncology | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Brandi N Baxter | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Patrick | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Monte Harrel | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Curtis V Wolf Ii | Ophthalmology | 1145 S Utica Ave, Suite 362, Tulsa, OK 74104-4004 | |
| Kay L Worley | Neurology | Neuro Links of Tulsa, L.L.C. | 1145 S Utica Ave, Suite 901, Tulsa, OK 74104-4005 |
| Gabriela Corsi Vasquez | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Sristi Bhattarai | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Stephan Hambaz | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Zubair Ashraf | Rheumatology | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4010 | |
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Find all physicians in zip 74104 | |||
| City | TULSA |
| Zip Code | 74104 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | TULSA + MEDICAL ONCOLOGY |
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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.