Robert G Spencer (NPI# 1639180318, PAC ID# 4284679184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1639180318 |
| PAC ID by PECOS | 4284679184 |
| Professional Enrollment ID | I20050827000025 |
| Full Name | Robert G Spencer |
| Organization Legal Name | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Address |
315 W Kansas St Mercy Clinic Okarche Okarche OK 73762-0127 |
| Phone Number | 4052637263 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1153468921 |
| Number of Group Practice Members | 451 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370013 | MERCY HOSPITAL OKLAHOMA CITY, INC |
| Address | Phone | Organization |
|---|---|---|
| 315 W Kansas St, Mercy Clinic Okarche, Okarche, OK 73762-0127 | 4052637263 | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Organization Legal Name | MERCY CLINIC OKLAHOMA COMMUNITIES |
| Physicians | 496 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramsha Saleem | Internal Medicine | Mercy Clinic Oklahoma Communities | 520 N Monte Vista St A, Mercy Clinic, Ada, OK 74820-4674 |
| Kyle R Judkins | Family Medicine | Mercy Clinic Oklahoma Communities | 1060 Sw 4th St, Moore, OK 73160-2494 |
| Peter Louis Tran | Nurse Practitioner | Mercy Clinic Oklahoma Communities | 4505 Memorial Cir, Oklahoma City, OK 73142-5004 |
| Kimberly Litton Peck | Clinical Social Worker | Mercy Clinic Oklahoma Communities | 14001 Mcauley Blvd, Suite 200, Oklahoma City, OK 73134-7004 |
| Julie M Shelley | Family Practice | Mercy Clinic Oklahoma Communities | 2601 Sw 119th St, Oklahoma City, OK 73170-2625 |
| Jamilia Lashawn Broussard | Nurse Practitioner | Mercy Clinic Oklahoma Communities | 1001 12th Nw Ave, Mercy Clinic, Ardmore, OK 73401-5712 |
| Henry Le | Internal Medicine | Mercy Clinic Oklahoma Communities | 2115 Parkview Dr, El Reno, OK 73036-2109 |
| Christopher Michael Henry | Internal Medicine | Mercy Clinic Oklahoma Communities | 13313 N Meridian Ave D, Mercy Clinic, Oklahoma City, OK 73120-8316 |
| Dekoda Kole Bost | Family Medicine | Mercy Clinic Oklahoma Communities | 11900 Nw Expressway, Yukon, OK 73099-8795 |
| Sneha Pranjal Desai | Obstetrics/gynecology | Mercy Clinic Oklahoma Communities | 1020 N Commerce St, Mercy Clinic Primary Care Commerce, Ardmore, OK 73401-3920 |
| Street Address |
315 W KANSAS ST MERCY CLINIC OKARCHE |
| City | OKARCHE |
| State | OK |
| Zip | 73762-0127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristen Rosenau | Nurse Practitioner | Healthcare One Associates Pllc | 315 W Kansas, Okarche, OK 73762 |
| Ann Maureen Burkle Robison | Nurse Practitioner | Healthcare One Associates Pllc | 315 W Kansas, Okarche, OK 73762 |
| Melodie D Duff | Nurse Practitioner | Healthcare One Associates Pllc | 315 W Kansas, Okarche, OK 73762 |
| James S Gerber | Family Practice | 315 W Kansas, Okarche, OK 73762 |
| City | OKARCHE |
| Zip Code | 73762 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | OKARCHE + FAMILY MEDICINE |
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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.