Donald L Sutmiller (NPI# 1629052311, PAC ID# 4587643739) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
Nation Provider ID (NPI) | 1629052311 |
PAC ID by PECOS | 4587643739 |
Professional Enrollment ID | I20040720000452 |
Full Name | Donald L Sutmiller |
Organization Legal Name | FAIRFAX MEDICAL FACILITIES INC |
Address |
119 W Main St Hominy OK 74035-1031 |
Phone Number | 9188854640 |
Gender | M |
Credential | DO |
Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
Graduation Year | 1983 |
Primary Specialty | GENERAL PRACTICE |
Group Practice PAC ID | 4284663360 |
Number of Group Practice Members | 13 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
371320 | CLEVELAND AREA HOSPITAL |
371309 | PAWHUSKA HOSPITAL, INC |
Address | Phone | Organization |
---|---|---|
212 N Main St, Fairfax, OK 74637-3023 | 9186423100 | FAIRFAX MEDICAL FACILITIES INC |
119 W Main St, Hominy, OK 74035-1031 | 9188854640 | FAIRFAX MEDICAL FACILITIES INC |
Organization Legal Name | FAIRFAX MEDICAL FACILITIES INC |
Physicians | 10 |
Name | Specialty | Organization | Address |
---|---|---|---|
Renee A Weatherford | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
Kent Alan Johnson | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
Neal Ross Brockbank | Family Medicine | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
Glenda D Boyle | Clinical Social Worker | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
Laurie Mclemore | Family Medicine | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
Kristin M Brock | Clinical Social Worker | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
Wendy Denise Madison | Nurse Practitioner | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
Rebecca A Rhodes | Nurse Practitioner | Fairfax Medical Facilities Inc | 119 W Main St, Hominy, OK 74035-1031 |
Lisa A Mattingly | Family Practice | Fairfax Medical Facilities Inc | 212 N Main St, Fairfax, OK 74637-3023 |
Street Address |
119 W MAIN ST |
City | HOMINY |
State | OK |
Zip | 74035-1031 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ryan L Wohlfert | Chiropractic | Ryan and Monica Wohlfert, PC | 119 W Main St, Westphalia, MI 48894-9838 |
Staci R Fellows | Nurse Practitioner | Ohio Hills Health Services | 119 W Main St, Quaker City, OH 43773-9422 |
Holly B Overmiller | Family Medicine | Ohio Hills Health Services | 119 W Main St, Quaker City, OH 43773-9422 |
Ian K Quartermus | Chiropractic | Ryan and Monica Wohlfert, PC | 119 W Main St, Westphalia, MI 48894-9838 |
Phillip Tabor Jr. | Optometry | 119 W Main St, Tabor Eye Clinic, Davis, OK 73030-1747 | |
Monica E Wohlfert | Chiropractic | Ryan and Monica Wohlfert, PC | 119 W Main St, Westphalia, MI 48894-9838 |
Rebecca A Rhodes | Nurse Practitioner | Fairfax Medical Facilities Inc | 119 W Main St, Hominy, OK 74035-1031 |
Theresa A Nollette | Clinical Social Worker | 119 W Main St, Suite 102, West Dundee, IL 60118-2062 |
Name | Specialty | Organization | Address |
---|---|---|---|
Donald R Woolery | Optometry | 117 S Wood Ave, Hominy, OK 74035-3000 |
City | HOMINY |
Zip Code | 74035 |
Specialty | GENERAL PRACTICE |
City + Specialty | HOMINY + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Donald L Sutmiller.
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.