Kerri Vandiver (NPI# 1366423188, PAC ID# 1658317276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1366423188 |
| PAC ID by PECOS | 1658317276 |
| Professional Enrollment ID | I20050908001011 |
| Full Name | Kerri Vandiver |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
11515 E 31st St Tulsa OK 74146-1908 |
| Phone Number | 9183923944 |
| Gender | F |
| Credential | NP |
| Graduation Year | 2003 |
| Primary Specialty | NURSE PRACTITIONER |
| 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 |
| Address | Phone | Organization |
|---|---|---|
| 11515 E 31st St, Tulsa, OK 74146-1908 | 9183923944 | 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 |
11515 E 31ST ST |
| City | TULSA |
| State | OK |
| Zip | 74146-1908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daryle J Riner | Optometry | 9720 E 31st St, A1, Tulsa, OK 74146-1259 | |
| Jennifer J Magness | Nurse Practitioner | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Hugo S Salguero | Interventional Pain Management | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Sherri L Richardson | Nurse Practitioner | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Steven T Mccormack | Diagnostic Radiology | Precision Pain Management LLC | 4110 S 100th E Ave, Suite 201, Tulsa, OK 74146-3629 |
| Patsy Janette Wiseman | Nurse Practitioner | Precision Pain Management LLC | 4110 S 100th E Ave, Suite 201, Tulsa, OK 74146-3629 |
| Melvin J Van Boven | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Stephanie C Holt | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Ryan L Hendren | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Erica Syklawer Kumar | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Find all physicians in zip 74146 | |||
| City | TULSA |
| Zip Code | 74146 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TULSA + NURSE PRACTITIONER |
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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.