Gary A Dorman (NPI# 1467444315, PAC ID# 3779657903) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1467444315 |
| PAC ID by PECOS | 3779657903 |
| Professional Enrollment ID | I20080814000422 |
| Full Name | Gary A Dorman |
| Address |
400 Fairview Ave Suite 21 Ponca City OK 74601-1910 |
| Phone Number | 5807953356 |
| Gender | M |
| Graduation Year | 1983 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | 5807953356 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
400 FAIRVIEW AVE SUITE 21 |
| City | PONCA CITY |
| State | OK |
| Zip | 74601-1910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas M Carter | Ophthalmology | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Phillip J Knight | Family Medicine | 400 Fairview Ave, Suite 15, Ponca City, OK 74601-1910 | |
| Michael S Schiff | Cardiovascular Disease (cardiology) | Integris Cardiovascular Physicians LLC | 400 Fairview Ave, Suite 19, Ponca City, OK 74601-1910 |
| William R Howard | Otolaryngology | 400 Fairview Ave, Suite 16, Ponca City, OK 74601-1910 | |
| Shrikrishna V Vaidya | Neurology | 400 Fairview Ave, Ponca City, OK 74601-1910 | |
| Alzira Vaidya | Psychiatry | 400 Fairview Ave, Ponca City, OK 74601-1910 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Blaine Burnett | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Codi N Vilhauer | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Judy Nielsen | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Mark Edward Rigney | Family Medicine | 400 Fairview, Bldg 3 Suite 20, Ponca City, OK 74601-1910 | |
| Julia K Fell | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| John W Holden | Internal Medicine | 427 Fairview Ave, Ponca City, OK 74601-1923 | |
| Coleen R Krieger | Physician Assistant | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Scott D Martin | Pediatric Medicine | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Dusti R Johnson | Nurse Practitioner | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Carly D Waren | Nurse Practitioner | Stillwater Medical Center Authority | 417 Fairview Ave, Ponca City, OK 74601-1923 |
| Find all physicians in zip 74601 | |||
| City | PONCA CITY |
| Zip Code | 74601 |
| Specialty | OPTOMETRY |
| City + Specialty | PONCA CITY + OPTOMETRY |
Please comment or provide details below to improve the information on Gary A Dorman.
| 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.