Christopher R Klotz (NPI# 1114904000, PAC ID# 3072678457) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1114904000 |
| PAC ID by PECOS | 3072678457 |
| Professional Enrollment ID | I20090218000611 |
| Full Name | Christopher R Klotz |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Address |
13600 E 86th St N Suite 100 Owasso OK 74055-8732 |
| Phone Number | 9182729313 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 9739080490 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370227 | ST JOHN OWASSO |
| 370114 | ST JOHN MEDICAL CENTER, INC |
| 370235 | ST JOHN BROKEN ARROW, INC |
| Address | Phone | Organization |
|---|---|---|
| 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 | 9182729313 | OMNI MEDICAL GROUP INC |
| 1923 S Utica Ave, Tulsa, OK 74104-6520 | 9187442967 | OMNI MEDICAL GROUP INC |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Goldameir Akingbola | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Mitzi Blanchard | Nurse Practitioner | Omni Medical Group Inc | 1421 E 13th St, Tulsa, OK 74120-5207 |
| Kelly R Wratten | Nurse Practitioner | Omni Medical Group Inc | 8115 S Memorial Dr, Tulsa, OK 74133-4331 |
| Ana Trujillo | Nurse Practitioner | Omni Medical Group Inc | 4720 S Harvard Ave, Suite 100, Tulsa, OK 74135-3023 |
| Michael H Vu | Family Medicine | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Brian T Crotty | Family Medicine | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| David L Smith | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Michelle Green | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Monica A Lee | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Patricia Duffy-feins | Clinical Social Worker | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Street Address |
13600 E 86TH ST N SUITE 100 |
| City | OWASSO |
| State | OK |
| Zip | 74055-8732 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David L Smith | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Lauren Elise Mendicki | Nurse Practitioner | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Robyn Lynn Baldwin | Clinical Social Worker | Laureate Psychiatric Clinic and Hospital Inc | 13600 E 86th St N, Owasso, OK 74055-8731 |
| Cynthia Kay Webster | Nurse Practitioner | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Michael K Cooper | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Madeline Penner | Physician Assistant | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Stanley J Smith | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Jacqueline M Petray | Internal Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Jasmine Wilson | Clinical Social Worker | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Tracy T Smith | Internal Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman Wayne Hinkle | Optometry | Drs. Hinkle and Cash Opt,, Inc. | 12720 E 86 St N, Owasso, OK 74055 |
| David Lee Cash | Optometry | Drs. Hinkle and Cash Opt,, Inc. | 12720 E 86 St N, Owasso, OK 74055 |
| Michael William Gaydos | Optometry | 8430 N 123rd E Ave, Owasso, OK 74055-2130 | |
| Russell D Cox | Chiropractic | 8434 N 123rd E Ave, Owasso, OK 74055-2130 | |
| Stephen N Warren | Chiropractic | 8361 N Owasso Expy, Suite E, Owasso, OK 74055-2179 | |
| Donald B Cobb | Optometry | 12406 E 86th St N, Owasso, OK 74055-2500 | |
| Lanita R Thomas | Optometry | Thomas Eye Care PC | 12406 E 86th St N, Owasso, OK 74055-2500 |
| Tracy L Standridge | Chiropractic | 12707 E 86th St N, Owasso, OK 74055-2506 | |
| Craig S Corson | Emergency Medicine | Medexpress Urgent Care, PC - Oklahoma | 11760 E 86th St N, Medexpress Urgent Care Owasso E 86th St N, Owasso, OK 74055-2533 |
| Jan Jay Rigney | Optometry | 11880 E 86th St N, Owasso, OK 74055-2535 | |
| Find all physicians in zip 74055 | |||
| City | OWASSO |
| Zip Code | 74055 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OWASSO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Christopher R Klotz.
| 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.