Creticus P Marak (NPI# 1215163514, PAC ID# 3173676822) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1215163514 |
| PAC ID by PECOS | 3173676822 |
| Professional Enrollment ID | I20130924000189 |
| Full Name | Creticus P Marak |
| Organization Legal Name | NORTHEASTERN HEALTH SYSTEM |
| Address |
1373 E Boone St Suite 2300 Tahlequah OK 74464-3365 |
| Phone Number | 9184581515 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 1456255025 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370089 | NORTHEASTERN HEALTH SYSTEM |
| 370171 | CHEROKEE NATION W W HASTINGS INDIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1373 E Boone St, Suite 2300, Tahlequah, OK 74464-3365 | 9184581515 | NORTHEASTERN HEALTH SYSTEM |
| Organization Legal Name | NORTHEASTERN HEALTH SYSTEM |
| Physicians | 54 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Thomas Ward | Certified Registered Nurse Anesthetist (crna) | Northeastern Health System | 1400 E Downing St, Tahlequah, OK 74464-3324 |
| Anna Wanahita | Neurology | Northeastern Health System | 1373 E Boone St, Suite 2300, Tahlequah, OK 74464-3365 |
| Bilal Aziz | Nephrology | Northeastern Health System | 1400 E Downing St, Tahlequah, OK 74464-3324 |
| Diego Humphrey | Cardiovascular Disease (cardiology) | Northeastern Health System | 1400 E Downing St, Tahlequah, OK 74464-3324 |
| Florame S Jamison | Nurse Practitioner | Northeastern Health System | 1400 E Downing St, Tahlequah, OK 74464-3324 |
| Ross P Turner | Hospitalist | Northeastern Health System | 1400 E Downing St, Tahlequah, OK 74464-3324 |
| Matthew E Stiger | Emergency Medicine | Northeastern Health System | 1400 E Downing St, Tahlequah, OK 74464-3324 |
| William J Myers Jr. | General Surgery | Northeastern Health System | 1500 E Downing St, Suite 103, Tahlequah, OK 74464-3354 |
| Zackary Paul Spradlin | Emergency Medicine | Northeastern Health System | 1400 E Downing St, Tahlequah, OK 74464-3324 |
| Imran Tahir | Nephrology | Northeastern Health System | 1400 E Downing St, Tahlequah, OK 74464-3324 |
| Street Address |
1373 E BOONE ST SUITE 2300 |
| City | TAHLEQUAH |
| State | OK |
| Zip | 74464-3365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anna Wanahita | Neurology | Northeastern Health System | 1373 E Boone St, Suite 2300, Tahlequah, OK 74464-3365 |
| Christopher S Deloache | Orthopedic Surgery | 1373 E Boone St, Suite 3401, Tahlequah, OK 74464-3365 | |
| George S Cohlmia Jr. | Cardiac Surgery | 1373 E Boone St, Suite 3400, Tahlequah, OK 74464-3330 | |
| Jack W Casas | Interventional Cardiology | Northeastern Health System | 1373 E Boone St, Suite 3400, Tahlequah, OK 74464-3365 |
| Imad Uddin | Internal Medicine | Northeastern Health System | 1373 E Boone St, Suite 2300, Tahlequah, OK 74464-3365 |
| William G Simpson | Gastroenterology | Northeastern Health System | 1373 E Boone St, Suite 2300, Tahlequah, OK 74464-3365 |
| Justin Thankachan | Internal Medicine | Northeastern Health System | 1373 E Boone St, Suite 2300, Tahlequah, OK 74464-3365 |
| Jennifer L Carter | Nurse Practitioner | Northeastern Health System | 1373 E Boone St, Suite 2300, Tahlequah, OK 74464-3365 |
| 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 |
| 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 |
| Find all physicians in zip 74464 | |||
| City | TAHLEQUAH |
| Zip Code | 74464 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | TAHLEQUAH + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Creticus P Marak.
| 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.