Gary T Denslow (NPI# 1194718775, PAC ID# 3779512892) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1194718775 |
| PAC ID by PECOS | 3779512892 |
| Professional Enrollment ID | I20050809000956 |
| Full Name | Gary T Denslow |
| Organization Legal Name | PEDIATRIC OPHTHALMOLOGY INC. |
| Address |
1704 N 9th St Broken Arrow OK 74012-8283 |
| Phone Number | 9183557450 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE |
| Graduation Year | 1971 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3577592682 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370216 | TULSA SPINE & SPECIALTY HOSPITAL, LLC |
| Address | Phone | Organization |
|---|---|---|
| 1704 N 9th St, Broken Arrow, OK 74012-8283 | 9183557450 | PEDIATRIC OPHTHALMOLOGY INC. |
| 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 | 9184812796 | PEDIATRIC OPHTHALMOLOGY INC. |
| Organization Legal Name | PEDIATRIC OPHTHALMOLOGY INC. |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Diver | Optometry | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| Andrea Nichole Briggs | Optometry | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| M. Said Sadeghi | Ophthalmology | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| Megan Schmoker | Optometry | Pediatric Ophthalmology Inc. | 4606 E 67th St, Suite 400, Tulsa, OK 74136-4950 |
| Street Address |
1704 N 9TH ST |
| City | BROKEN ARROW |
| State | OK |
| Zip | 74012-8283 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Hibbets | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Brad F Wells | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Travis D Ring | Chiropractic | 2433 N Aspen Ave, Broken Arrow, OK 74012-1142 | |
| Marilyn Sue Taylor | Physician Assistant | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jeffrey L Halford | Physical Medicine and Rehabilitation | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jo-anna Coppin Lohr | Nurse Practitioner | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Brent W Henderson | Anesthesiology | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Dena Marie Brunk | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Amira A Al Jiboori | Physical Therapy | Redbud Physical Rehabilitation PC | 1700 W Albany, Suite 310, Broken Arrow, OK 74012-1478 |
| Emily Lynne Sweeney | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Find all physicians in zip 74012 | |||
| City | BROKEN ARROW |
| Zip Code | 74012 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BROKEN ARROW + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Gary T Denslow.
| 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.