Clinton Anthony (NPI# 1528061603, PAC ID# 4880595677) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1528061603 |
| PAC ID by PECOS | 4880595677 |
| Professional Enrollment ID | I20041110000853 |
| Full Name | Clinton Anthony |
| Organization Legal Name | PAIN MANAGEMENT OF TULSA P C |
| Address |
6802 S Olympia W Ave Suite 100 Tulsa OK 74132-1826 |
| Phone Number | 9184479300 |
| Gender | M |
| Credential | MD |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1990 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialties | PAIN MANAGEMENT |
| Group Practice PAC ID | 0244335131 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370216 | TULSA SPINE & SPECIALTY HOSPITAL, LLC |
| Address | Phone | Organization |
|---|---|---|
| 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 | 9182459675 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| 6802 S Olympia W Ave, Suite 100, Tulsa, OK 74132-1826 | 9184479300 | PAIN MANAGEMENT OF TULSA P C |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 92% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 57% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 100% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 19% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% |
| Organization Legal Name | PAIN MANAGEMENT OF TULSA P C |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Mitchell | Nurse Practitioner | Pain Management of Tulsa P C | 6802 S Olympia W Ave, Suite 100, Tulsa, OK 74132-1826 |
| Traci L White | Anesthesiology | Pain Management of Tulsa P C | 6802 S Olympia W Ave, Suite 100, Tulsa, OK 74132-1826 |
| Street Address |
6802 S OLYMPIA W AVE SUITE 100 |
| City | TULSA |
| State | OK |
| Zip | 74132-1826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Mitchell | Nurse Practitioner | Pain Management of Tulsa P C | 6802 S Olympia W Ave, Suite 100, Tulsa, OK 74132-1826 |
| Traci L White | Anesthesiology | Pain Management of Tulsa P C | 6802 S Olympia W Ave, Suite 100, Tulsa, OK 74132-1826 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Allison P Finch | Qualified Audiologist | Ear, Nose and Throat Specialists of Tulsa, LLP | 6802 S Olympia Ave, Suite 200, Tulsa, OK 74132-1826 |
| William H Hawkins | Otolaryngology | Ear, Nose and Throat Specialists of Tulsa, LLP | 6802 S Olympia Ave, Suite 200, Tulsa, OK 74132-1826 |
| Chris Green Covington | Neurosurgery | Oklahoma Spine and Brain Institute | 6802 S Olympia Ave, Suite 300, Tulsa, OK 74132-1826 |
| Ryan Tackla | Neurosurgery | Oklahoma Spine and Brain Institute | 6802 S Olympia Ave, Suite 300, Tulsa, OK 74132-1826 |
| Bruce E Hudkins | Otolaryngology | Ear, Nose and Throat Specialists of Tulsa, LLP | 6802 S Olympia Ave, Suite 200, Tulsa, OK 74132-1826 |
| Kelly Ann Watson | Nurse Practitioner | Oklahoma Spine and Brain Institute | 6802 S Olympia Ave, Suite 300, Tulsa, OK 74132-1826 |
| Frank Tomecek | Neurosurgery | Oklahoma Spine and Brain Institute | 6802 S Olympia Ave, Suite 300, Tulsa, OK 74132-1826 |
| Joan C Burns | Qualified Audiologist | Ear, Nose and Throat Specialists of Tulsa, LLP | 6802 S Olympia Ave, Suite 200, Tulsa, OK 74132-1826 |
| Steven Gaede | Neurosurgery | Oklahoma Spine and Brain Institute | 6802 S Olympia Ave, Suite 300, Tulsa, OK 74132-1826 |
| Amy Jean Nelson | Physical Therapy | Oklahoma Spine and Brain Institute | 6802 S Olympia Ave, Suite 300, Tulsa, OK 74132-1826 |
| Find all physicians in zip 74132 | |||
| City | TULSA |
| Zip Code | 74132 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | TULSA + ANESTHESIOLOGY |
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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.