Coy J Edwards (NPI# 1548201155, PAC ID# 3375571631) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1548201155 |
| PAC ID by PECOS | 3375571631 |
| Professional Enrollment ID | I20110824000688 |
| Full Name | Coy J Edwards |
| Organization Legal Name | TAHLEQUAH MEDICAL GROUP LLC |
| Address |
1400 E Downing Tahlequah City Hospital Tahleqhah OK 74464-3324 |
| Phone Number | 9184560641 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 4082861349 |
| Number of Group Practice Members | 33 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370089 | NORTHEASTERN HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 1400 E Downing, Tahlequah City Hospital, Tahleqhah, OK 74464-3324 | 9184560641 | TAHLEQUAH MEDICAL GROUP LLC |
| 1400 E Downing, Tahleqhah, OK 74464-3324 | 9184560641 | TAHLEQUAH MEDICAL GROUP LLC |
| Organization Legal Name | TAHLEQUAH MEDICAL GROUP LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lisa Renfrow | Nurse Practitioner | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
| Deanna Wright | Nurse Practitioner | Tahlequah Medical Group LLC | 1373 E Boone Street, Suite 2300, Tahlequah, OK 74464-3330 |
| Paul Hobbs | Internal Medicine | Tahlequah Medical Group LLC | 1400 E Downing, Tahlequah City Hospital, Tahleqhah, OK 74464-3324 |
| Robert D Hensley | Psychiatry | Tahlequah Medical Group LLC | 1201 E Ross Bypass, Tahlequah, OK 74464-4188 |
| Andrew R Olshen | Physical Medicine and Rehabilitation | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
| Steven A Smith | Dermatology | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
| Charles R Mutch | Physician Assistant | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
| Teresa Nabors | Nurse Practitioner | Tahlequah Medical Group LLC | 1400 E Downing, Tahlequah City Hospital, Tahleqhah, OK 74464-3324 |
| Janet L Plaxico | Physician Assistant | Tahlequah Medical Group LLC | 1400 E Downing, Tahlequah City Hospital, Tahleqhah, OK 74464-3324 |
| Street Address |
1400 E DOWNING TAHLEQUAH CITY HOSPITAL |
| City | TAHLEQHAH |
| State | OK |
| Zip | 74464-3324 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Hobbs | Internal Medicine | Tahlequah Medical Group LLC | 1400 E Downing, Tahlequah City Hospital, Tahleqhah, OK 74464-3324 |
| Teresa Nabors | Nurse Practitioner | Tahlequah Medical Group LLC | 1400 E Downing, Tahlequah City Hospital, Tahleqhah, OK 74464-3324 |
| Janet L Plaxico | Physician Assistant | Tahlequah Medical Group LLC | 1400 E Downing, Tahlequah City Hospital, Tahleqhah, OK 74464-3324 |
| 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 | TAHLEQHAH |
| Zip Code | 74464 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | TAHLEQHAH + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Coy J Edwards.
| 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.