Orlando D Dickerson (NPI# 1699164616, PAC ID# 1759609159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1699164616 |
| PAC ID by PECOS | 1759609159 |
| Professional Enrollment ID | I20150415001233 |
| Full Name | Orlando D Dickerson |
| Organization Legal Name | ST. JOHN ANESTHESIA SERVICES, INC. |
| Address |
1000 W Boise Cir St John Broken Arrow Broken Arrow OK 74012-4900 |
| Phone Number | 9187443664 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 4789607938 |
| Number of Group Practice Members | 90 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370235 | ST JOHN BROKEN ARROW, INC |
| 370114 | ST JOHN MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 | 9187443664 | ST. JOHN ANESTHESIA SERVICES, INC. |
| 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 | 9187442345 | ST. JOHN ANESTHESIA SERVICES, INC. |
| Organization Legal Name | ST. JOHN ANESTHESIA SERVICES, INC. |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Barki | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Bradford D Barber | Anesthesiology | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Jonathan David Friend Ii | Anesthesiology | St. John Anesthesia Services, Inc. | 12451 E 100th St N, St John Owasso, Owasso, OK 74055-4600 |
| Dana L Terrell | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Tara A Mccants | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Brad W Stahlheber | Anesthesiology | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Daron V Brabham | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Ryan T Hladky | Anesthesiology Assistant | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Robin M Burch | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Christopher J Hagen | Anesthesiology | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Street Address |
1000 W BOISE CIR ST JOHN BROKEN ARROW |
| City | BROKEN ARROW |
| State | OK |
| Zip | 74012-4900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Barki | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Richard W Smarinsky | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Taylor J Loykasek | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Babak H Golbaba | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Jamey L Iverson | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| James P Allen | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Gretchen L Deangelis | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Ryan N Hulver | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Amy Stafford | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Hibbets | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Brad F Wells | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Travis D Ring | Chiropractic | 2433 N Aspen Ave, Broken Arrow, OK 74012-1142 | |
| Marilyn Sue Taylor | Physician Assistant | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jeffrey L Halford | Physical Medicine and Rehabilitation | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jo-anna Coppin Lohr | Nurse Practitioner | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Brent W Henderson | Anesthesiology | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Dena Marie Brunk | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Amira A Al Jiboori | Physical Therapy | Redbud Physical Rehabilitation PC | 1700 W Albany, Suite 310, Broken Arrow, OK 74012-1478 |
| Emily Lynne Sweeney | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Find all physicians in zip 74012 | |||
| City | BROKEN ARROW |
| Zip Code | 74012 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | BROKEN ARROW + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Orlando D Dickerson.
| 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.