Lisa G King (NPI# 1073545885, PAC ID# 4082680558) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1073545885 |
| PAC ID by PECOS | 4082680558 |
| Professional Enrollment ID | I20040907000421 |
| Full Name | Lisa G King |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
20 E 34th St Utica Park Clinic San Springs Sand Springs OK 74063-4001 |
| Phone Number | 9182459675 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 9436122496 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370202 | HILLCREST HOSPITAL SOUTH |
| 370001 | HILLCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 | 9182459675 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| 9001 S 101st E Ave, Suite 230, Tulsa, OK 74133-5797 | 9183925470 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| 9001 S 101st E Ave, Utica Park Clinic, Tulsa, OK 74133-5799 | 9185792300 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Physicians | 266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammie Wall Kelley | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Lisa Mask Bull | Dermatology | Ahs Oklahoma Physician Group LLC | 9245 S Mingo Rd, Tulsa, OK 74133-5793 |
| Kelsey Spencer | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 2400 N Hwy 66 B, Utica Park Clinic Catoosa, Catoosa, OK 74015-3074 |
| Valerie Anne Mitchell | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Christina Lou Martin | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 1551 N 9th St, Utica Park Clinic Broken Arrow North, Broken Arrow, OK 74012-8898 |
| Kristine Elaine Bryant | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Elwood F Williams Iii | Interventional Pain Management | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Ave, 100 Utica Park Clinic, Tulsa, OK 74133-7546 |
| Jaclyn Duvall | Neurology | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Avenue, 280 Utica Park Clinic Neurology South, Tulsa, OK 74133-5783 |
| Aimee K Musgrove | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 6528 E 101st St, Suite I, Tulsa, OK 74133-6754 |
| Jeannette Windschitl | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 |
| Street Address |
20 E 34TH ST UTICA PARK CLINIC SAN SPRINGS |
| City | SAND SPRINGS |
| State | OK |
| Zip | 74063-4001 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Ann Bruce | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Kristen Elise Giordano | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Lisha R Porch-petitt | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Paul Guy Hagood | Urology | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Danielle N Bedore | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Whitney M Reid | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Matthew B Dohlman | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Matthew Else | Family Medicine | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Daniel C Henshaw | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Michelle S Peters | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell Dale Gilstrap | Nurse Practitioner | 3900 S 113th W Ave, Sand Springs, OK 74063-2724 | |
| Jeffrey W Tallant | Chiropractic | 3949 S Hwy 97, Sand Springs, OK 74063-3829 | |
| William H Dudney | Family Medicine | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Michele Tobey | Nurse Practitioner | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Gary R Lee | Emergency Medicine | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Jennifer Havens Zahn | Nurse Practitioner | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Amy L Clark | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Kendra J Hurst | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Janhavi S Rao | Internal Medicine | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Jessica L Haines | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Find all physicians in zip 74063 | |||
| City | SAND SPRINGS |
| Zip Code | 74063 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SAND SPRINGS + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Lisa G King.
| 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.