William C Clark Jr. (NPI# 1962455725, PAC ID# 4082621255) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1962455725 |
| PAC ID by PECOS | 4082621255 |
| Professional Enrollment ID | I20060712000261 |
| Full Name | William C Clark Jr. |
| Organization Legal Name | TULSA BONE AND JOINT ASSOCIATES PC |
| Address |
4812 S 109th E Ave Tulsa OK 74146-5826 |
| Phone Number | 9183921511 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 9335033802 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| 370227 | ST JOHN OWASSO |
| 370235 | ST JOHN BROKEN ARROW, INC |
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1623 S Utica Ave, Tulsa, OK 74104-4909 | 9189826800 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 4812 S 109th E Ave, Tulsa, OK 74146-5826 | 9183921511 | TULSA BONE AND JOINT ASSOCIATES PC |
| Organization Legal Name | TULSA BONE AND JOINT ASSOCIATES PC |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Bibb Holland | Physician Assistant | Tulsa Bone and Joint Associates PC | 4802 S 109th E Ave, Tulsa, OK 74146-5822 |
| Stacey Lynn Long | Physical Therapy | Tulsa Bone and Joint Associates PC | 4808 S 109th E Ave, Tulsa, OK 74146-5822 |
| Britney Marie Else | Family Medicine | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Scott D Cochran | Orthopedic Surgery | Tulsa Bone and Joint Associates PC | 4140 Se Adams Rd, Bartlesville, OK 74006-8450 |
| Dalton Christopher Smith | Physical Therapy | Tulsa Bone and Joint Associates PC | 4140 Seadams Rd, Bartlesville, OK 74006 |
| Wesley Michael Stotler | Orthopedic Surgery | Tulsa Bone and Joint Associates PC | 4802 S 109th E Ave, Tulsa, OK 74146-5822 |
| Bethany D Koss | Physical Therapy | Tulsa Bone and Joint Associates PC | 4802 S 109th E Ave, Tulsa, OK 74146-5822 |
| Brian Lovelace | Orthopedic Surgery | Tulsa Bone and Joint Associates PC | 4802 S 109th E Ave, Tulsa, OK 74146-5822 |
| Hayley Mae Fort | Physician Assistant | Tulsa Bone and Joint Associates PC | 4802 S 109th E Ave, Tulsa, OK 74146-5822 |
| Alan L Martin | Rheumatology | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Street Address |
4812 S 109TH E AVE |
| City | TULSA |
| State | OK |
| Zip | 74146-5826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Britney Marie Else | Family Medicine | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Alan L Martin | Rheumatology | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| William L Surbeck | Rheumatology | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Richard L Drake | Orthopedic Surgery | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Lindsay Cunningham | Internal Medicine | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Marchel W Clements | Orthopedic Surgery | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Jeri J Townsend | Nurse Practitioner | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Paul D Peterson | Orthopedic Surgery | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Srikanth K Reddy | Physical Medicine and Rehabilitation | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Ashley Nicole Mumma | Physical Therapy | Tulsa Bone and Joint Associates PC | 4812 S 109th E Ave, Tulsa, OK 74146-5826 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daryle J Riner | Optometry | 9720 E 31st St, A1, Tulsa, OK 74146-1259 | |
| Kerri Vandiver | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 11515 E 31st St, Tulsa, OK 74146-1908 |
| Jennifer J Magness | Nurse Practitioner | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Hugo S Salguero | Interventional Pain Management | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Sherri L Richardson | Nurse Practitioner | Advanced Pain Management Center of Oklahoma LLC | 3840 S 103rd E Ave, Suite 100, Tulsa, OK 74146-2445 |
| Steven T Mccormack | Diagnostic Radiology | Precision Pain Management LLC | 4110 S 100th E Ave, Suite 201, Tulsa, OK 74146-3629 |
| Patsy Janette Wiseman | Nurse Practitioner | Precision Pain Management LLC | 4110 S 100th E Ave, Suite 201, Tulsa, OK 74146-3629 |
| Melvin J Van Boven | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Stephanie C Holt | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Ryan L Hendren | Pathology | Pathology Laboratory Associates Inc | 4142 S Mingo Rd, Regional Medical Laboratoy Central, Tulsa, OK 74146-3632 |
| Find all physicians in zip 74146 | |||
| City | TULSA |
| Zip Code | 74146 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | TULSA + ORTHOPEDIC SURGERY |
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| 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.