Renee A Weatherford (NPI# 1417317140, PAC ID# 2668370024) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1417317140 |
| PAC ID by PECOS | 2668370024 |
| Professional Enrollment ID | I20170222001376 |
| Full Name | Renee A Weatherford |
| Organization Legal Name | FAIRFAX MEDICAL FACILITIES INC |
| Address |
212 N Main St Fairfax OK 74637-3023 |
| Phone Number | 9186423100 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4284663360 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 371320 | CLEVELAND AREA HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 212 N Main St, Fairfax, OK 74637-3023 | 9186423100 | FAIRFAX MEDICAL FACILITIES INC |
| Organization Legal Name | FAIRFAX MEDICAL FACILITIES INC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kent Alan Johnson | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Neal Ross Brockbank | Family Medicine | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Donald L Sutmiller | General Practice | Fairfax Medical Facilities Inc | 119 W Main St, Hominy, OK 74035-1031 |
| Glenda D Boyle | Clinical Social Worker | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Laurie Mclemore | Family Medicine | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Kristin M Brock | Clinical Social Worker | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Wendy Denise Madison | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Rebecca A Rhodes | Nurse Practitioner | Fairfax Medical Facilities Inc | 119 W Main St, Hominy, OK 74035-1031 |
| Lisa A Mattingly | Family Practice | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Street Address |
212 N MAIN ST |
| City | FAIRFAX |
| State | OK |
| Zip | 74637-3023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bryan Doke | Physical Therapy | 212 N Main St, Ainsworth, NE 69210-1354 | |
| Dirk Eliot Skinner | Neurology | 212 N Main St, Cape May Court House, NJ 08210-2122 | |
| Kent Alan Johnson | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Neal Ross Brockbank | Family Medicine | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Glenda D Boyle | Clinical Social Worker | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Laurie Mclemore | Family Medicine | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Kristin M Brock | Clinical Social Worker | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Linda Davidson | Psychologist, Clinical | 212 N Main St, Nevada, MO 64772-2332 | |
| Carol D Barlage | Family Medicine | Rocking Horse Children's Health Center | 212 N Main St, London, OH 43140-1115 |
| Wendy Denise Madison | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa A Mattingly | Family Practice | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
| Thomas Frasier Engle | Physician Assistant | Cah Acquisition Company 12 LLC | 40 Hospital Rd, Fairfax, OK 74637-5084 |
| Richard E Steel | Nurse Practitioner | Cah Acquisition Company 12 LLC | 40 Hospital Rd, Fairfax, OK 74637-5084 |
| Gene Harold Evans | Family Medicine | Cah Acquisition Company 12 LLC | 40 Hospital Rd, Fairfax, OK 74637-5084 |
| City | FAIRFAX |
| Zip Code | 74637 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FAIRFAX + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Renee A Weatherford.
| 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.