Therron Samuel Nichols (NPI# 1962512830, PAC ID# 4385839455) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1962512830 |
| PAC ID by PECOS | 4385839455 |
| Professional Enrollment ID | I20101115000808 |
| Full Name | Therron Samuel Nichols |
| Organization Legal Name | CREEK NATION HOSPITAL AND CLINICS |
| Address |
1201 S Belmont Ave Suite 205 Okmulgee OK 74447-6351 |
| Phone Number | 9187569266 |
| Gender | M |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1993 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 5698786226 |
| Number of Group Practice Members | 152 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370057 | MUSCOGEE (CREEK) NATION MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1201 S Belmont Ave, Suite 205, Okmulgee, OK 74447-6351 | 9187569266 | CREEK NATION HOSPITAL AND CLINICS |
| 1401 Morris Dr, Okmulgee, OK 74447-6429 | 9187564233 | CREEK NATION HOSPITAL AND CLINICS |
| Organization Legal Name | CREEK NATION HOSPITAL AND CLINICS |
| Physicians | 90 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chad Tyler Hollifield | Optometry | Creek Nation Hospital and Clinics | 500 Eunice Burns Rd, Eufaula Indian Health Clinic, Eufaula, OK 74443-4052 |
| Megan Wilson | Family Medicine | Creek Nation Hospital and Clinics | 309 N 14th St, Okemah Community Clinic, Okemah, OK 74859-2028 |
| Amanda J Reece | Nurse Practitioner | Creek Nation Hospital and Clinics | 800 W Forrest Ave, Eufaula, OK 74432-3249 |
| Amanda R Reed | Emergency Medicine | Creek Nation Hospital and Clinics | 31870 E Hwy 51, Koweta Indian Health Facility, Coweta, OK 74429-7900 |
| Bruce R Hodson | Psychologist, Clinical | Creek Nation Hospital and Clinics | 1313 E 20th St, Okmulgee Indian Health Center, Okmulgee, OK 74447-6303 |
| Eric Brady Woolley | Emergency Medicine | Creek Nation Hospital and Clinics | 1401 Morris Dr, Okmulgee, OK 74447-6429 |
| Nina C Jones | Diagnostic Radiology | Creek Nation Hospital and Clinics | 1125 E Cleveland Ave, Sapulpa Indian Health Center, Sapulpa, OK 74066-4641 |
| Breanna R Dale | Registered Dietitian Or Nutrition Professional | Creek Nation Hospital and Clinics | 1125 E Cleveland Ave, Sapulpa Indian Health Center, Sapulpa, OK 74066-4641 |
| Bo Yon Choi | Diagnostic Radiology | Creek Nation Hospital and Clinics | 1125 E Cleveland Ave, Sapulpa Indian Health Center, Sapulpa, OK 74066-4641 |
| Torie Ann Fuller | Registered Dietitian Or Nutrition Professional | Creek Nation Hospital and Clinics | 1125 E Cleveland Ave, Sapulpa Indian Health Center, Sapulpa, OK 74066-4641 |
| Street Address |
1201 S BELMONT AVE SUITE 205 |
| City | OKMULGEE |
| State | OK |
| Zip | 74447-6351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adel R Malati | Internal Medicine | 1201 S Belmont Ave, Suite 101, Okmulgee, OK 74447-6351 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Margaret A Stripling | Family Medicine | 3606 N Cincinnati Ave, Tulsa, OK 74447-1536 | |
| Martha M Robinson | Dermatology | 114 N Grand Ave, Suite 508, Okmulgee, OK 74447-4013 | |
| William T Bryant | Psychologist, Clinical | 206 S Grand Ave, 202 Willima T Bryant Phd Clinical Psychology, Okmulgee, OK 74447-4600 | |
| William L Hull | Optometry | Walt P. Megown Od Inc. | 916 E 8th St, Okmulgee Vision Clinic, Okmulgee, OK 74447-4724 |
| Walt P Megown | Optometry | Walt P. Megown Od Inc. | 916 E 8th St, Okmulgee Vision Clinic, Okmulgee, OK 74447-4724 |
| Benjamin F Bradley | Nurse Practitioner | 109 W 6th St, Okmulgee, OK 74447-5015 | |
| Kenneth J Kirk | Internal Medicine | Access Solutions Medical Group II | 100 W 7th St, Suite 100, Okmulgee, OK 74447-5049 |
| Douglas R Brown | Family Medicine | Access Pain Solutions | 100 W 7th St, Okmulgee, OK 74447-5050 |
| Michelle A Johnson | Physical Therapy | Impact Rehab Consultants | 114 W 7th St, Impact Rehabilitation and Wellness, Okmulgee, OK 74447-5052 |
| L Michael Siegenthaler | Physical Therapy | Impact Rehab Consultants | 114 W 7th St, Impact Rehabilitation and Wellness, Okmulgee, OK 74447-5052 |
| Find all physicians in zip 74447 | |||
| City | OKMULGEE |
| Zip Code | 74447 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | OKMULGEE + 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.