Glenn D Haraway (NPI# 1679679062, PAC ID# 1456454156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1679679062 |
| PAC ID by PECOS | 1456454156 |
| Professional Enrollment ID | I20111230000488 |
| Full Name | Glenn D Haraway |
| Address |
6901 S Yorktown Ave Suite C Tulsa OK 74136-3983 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1994 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | HOSPICE/PALLIATIVE CARE, UNDERSEA AND HYPERBARIC MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 6901 S Yorktown Ave, Suite C, Tulsa, OK 74136-3983 |
| Street Address |
6901 S YORKTOWN AVE SUITE C |
| City | TULSA |
| State | OK |
| Zip | 74136-3983 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Edgar J Kranau | Psychologist, Clinical | 6216 S Lewis Ave, Suite 164, Tulsa, OK 74136-1017 | |
| Monica Waukea Hamer | Clinical Social Worker | 6216 S Lewis Ave, Suite 103, Tulsa, OK 74136-1017 | |
| Andrea Byers | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Janine Krause | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Kristine G Siegenthaler | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Kelli Dawn Kelley | Occupational Therapy | Fidelity Health Care Consultants, P.C. | 6650 S Lewis Ave, Tulsa, OK 74136-1040 |
| Samantha R Cannon | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Amy E Kroll | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Beverly P Rice | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Sally Townsend-wellons | Clinical Social Worker | Improving Lives Counseling Services Inc | 6216 S Lewis Ave, Suite 180, Tulsa, OK 74136-1077 |
| Find all physicians in zip 74136 | |||
| City | TULSA |
| Zip Code | 74136 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TULSA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Glenn D Haraway.
| 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.