Matthew Ryan Wilson (NPI# 1316006083, PAC ID# 2062644370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is COLORECTAL SURGERY (PROCTOLOGY).
| Nation Provider ID (NPI) | 1316006083 |
| PAC ID by PECOS | 2062644370 |
| Professional Enrollment ID | I20160809001410 |
| Full Name | Matthew Ryan Wilson |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
1809 E 13th St 400 Utical Park Clinic General Surgery Tulsa OK 74104-4419 |
| Phone Number | 9185998200 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | COLORECTAL SURGERY (PROCTOLOGY) |
| Secondary Specialties | GENERAL SURGERY |
| 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 |
| 370216 | TULSA SPINE & SPECIALTY HOSPITAL, LLC |
| 370202 | HILLCREST HOSPITAL SOUTH |
| 370034 | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 1809 E 13th St, 400 Utical Park Clinic General Surgery, Tulsa, OK 74104-4419 | 9185998200 | 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 |
1809 E 13TH ST 400 UTICAL PARK CLINIC GENERAL SURGERY |
| City | TULSA |
| State | OK |
| Zip | 74104-4419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tiffany Marie Ngo | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1809 E 13th St, 400 Utical Park Clinic General Surgery, Tulsa, OK 74104-4419 |
| Laurie A Duckett | Plastic and Reconstructive Surgery | Ahs Oklahoma Physician Group LLC | 1809 E 13th St, 400 Utical Park Clinic General Surgery, Tulsa, OK 74104-4419 |
| Marco Criscione | Nurse Practitioner | Orthopaedic Center PC | 1809 E 13th St, Suite 100, Tulsa, OK 74104-4431 |
| Kyle Culver | Physical Therapy | Orthopaedic Center PC | 1809 E 13th St, Suite 100, Tulsa, OK 74104-4431 |
| David S Tiffin | Physician Assistant | Orthopaedic Center PC | 1809 E 13th St, Suite 100, Tulsa, OK 74104-4431 |
| Samantha Nicole Kuplicki | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1809 E 13th St, 400 Utical Park Clinic General Surgery, Tulsa, OK 74104-4419 |
| Leslie K Walker | Medical Oncology | Ahs Oklahoma Physician Group LLC | 1809 E 13th St, Suite 402, Tulsa, OK 74104-4431 |
| Jeffrey A. Stromberg | Hand Surgery | Orthopaedic Center PC | 1809 E 13th St, Suite 100, Tulsa, OK 74104-4431 |
| Eugene O Dickens | General Surgery | Ahs Oklahoma Physician Group LLC | 1809 E 13th St, 400 Utical Park Clinic General Surgery, Tulsa, OK 74104-4419 |
| Alyssa Puckett | Occupational Therapy | Orthopaedic Center PC | 1809 E 13th St, Suite 100, Tulsa, OK 74104-4431 |
| Find all physicians in the same address | |||
| 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 | COLORECTAL SURGERY (PROCTOLOGY) |
| City + Specialty | TULSA + COLORECTAL SURGERY (PROCTOLOGY) |
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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.