George Alfred Wennerberg (NPI# 1659666717, PAC ID# 2567722804) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1659666717 |
| PAC ID by PECOS | 2567722804 |
| Professional Enrollment ID | I20180207001173 |
| Full Name | George Alfred Wennerberg |
| Organization Legal Name | CHEROKEE NATION |
| Address |
100 S Bliss Ave Tahlequah OK 74464-2512 |
| Phone Number | 9184583100 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5799698742 |
| Number of Group Practice Members | 255 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370171 | CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL |
| 370089 | NORTHEASTERN HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 100 S Bliss Ave, Tahlequah, OK 74464-2512 | 9184583100 | CHEROKEE NATION |
| 16944 W Cherokee, Gadugi Health Center, Tahlequah, OK 74464-2512 | 9184586218 | CHEROKEE NATION |
| Organization Legal Name | CHEROKEE NATION |
| Physicians | 214 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Austin Thomas Mcardle | Podiatry | Cherokee Nation | 1020 Lenape Dr, Nowata, OK 74048-4403 |
| Megan Jean Chee | Optometry | Cherokee Nation | 16944 W Cherokee, Gadugi Health Center, Tahlequah, OK 74464-2512 |
| John Paul Orkwis | Family Medicine | Cherokee Nation | Rr 5 Box, Suite 840, Stilwell, OK 74960-9222 |
| Amanda Leigh May | Nurse Practitioner | Cherokee Nation | 27371 S 4410 Rd, Vinita, OK 74301-7953 |
| Stephanie D Bunch | Nurse Practitioner | Cherokee Nation | 840 Rr, Stilwell, OK 74960-9222 |
| Julie M Gaskins | Nurse Practitioner | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Kendra D Round | Nurse Practitioner | Cherokee Nation | 1001 S 41st St E, Three Rivers Health Center, Muskogee, OK 74403-6253 |
| Barinder P Bassi | Podiatry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Henry P Smith | Family Medicine | Cherokee Nation | 859 E Melton Dr, Sam Hider Health Center, Jay, OK 74346-0001 |
| Matthew Gill | Nurse Practitioner | Cherokee Nation | 395200 W 2900 Rd, Cooweescoowee Hlth, Ochelata, OK 74051-0001 |
| Street Address |
100 S BLISS AVE |
| City | TAHLEQUAH |
| State | OK |
| Zip | 74464-2512 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barinder P Bassi | Podiatry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Charles Wayne Bingham | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Carolyn E Majcher | Optometry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Cathy J Fielder | Physician Assistant | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Gregory S Brooks | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Sylvia Soto | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Deborah Mcalister | Orthopedic Surgery | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Danielle Renee Burkdoll | General Surgery | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Meghan R Rockey | Nurse Practitioner | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Tara D Brown | Optometry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christi D Anderson | Physician Assistant | Cherokee Nation | 19600 E Ross St, Cn Outpatient Health Center, Tahlequah, OK 74464-0545 |
| James Mark Seratt | Family Medicine | 22408 Hwy 51, Tahlequah, OK 74464-2058 | |
| Megan Jean Chee | Optometry | Cherokee Nation | 16944 W Cherokee, Gadugi Health Center, Tahlequah, OK 74464-2512 |
| Amanda K Oxford | Physician Assistant | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Thomas Kincade | Pediatric Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Brent L Roberts | Optometry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Peachie L Barton Daugherty | Certified Nurse Midwife (cnm) | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Bobbi G Fishinghawk | General Surgery | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Jeff M Miller | Optometry | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Sharon C Smallwood | Family Medicine | Cherokee Nation | 100 S Bliss Ave, Tahlequah, OK 74464-2512 |
| Find all physicians in zip 74464 | |||
| City | TAHLEQUAH |
| Zip Code | 74464 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TAHLEQUAH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on George Alfred Wennerberg.
| 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.