Amanda Dawn Long (NPI# 1477072031, PAC ID# 4880950716) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1477072031 |
| PAC ID by PECOS | 4880950716 |
| Professional Enrollment ID | I20171109002033 |
| Full Name | Amanda Dawn Long |
| Organization Legal Name | WARREN CLINIC INC |
| Address |
3332 W Okmulgee St Muskogee OK 74401-5069 |
| Phone Number | 9186822481 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8820900293 |
| Number of Group Practice Members | 487 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370218 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| 370025 | SAINT FRANCIS HOSPITAL MUSKOGEE |
| Address | Phone | Organization |
|---|---|---|
| 3332 W Okmulgee St, Muskogee, OK 74401-5069 | 9186822481 | WARREN CLINIC INC |
| Organization Legal Name | WARREN CLINIC INC |
| Physicians | 455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anne Mix | Physician Assistant | Warren Clinic Inc | 6161 S Yale Ave, Tulsa, OK 74136-1902 |
| Charity Dawn Johnson | Family Medicine | Warren Clinic Inc | 108 Lone Oak Cir, Fort Gibson, OK 74434-5001 |
| Peter Fast | Sports Medicine | Warren Clinic Inc | 2900 N Main St, Muskogee, OK 74401-4078 |
| Shiela D Williams | Nurse Practitioner | Warren Clinic Inc | 715 N Foreman St, Vinita, OK 74301-1422 |
| Richenda Dawn Herren | General Surgery | Warren Clinic Inc | 101 Rockefeller Dr, Suite 201, Muskogee, OK 74401-5050 |
| Carmen Oakes | Nurse Practitioner | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
| Patrice Harrison | Qualified Audiologist | Warren Clinic Inc | 1401 E Van Buren Ave, Mcalester, OK 74501-4245 |
| Jonathan M Baldwin | Obstetrics/gynecology | Warren Clinic Inc | 3504 W Okmulgee St, Muskogee, OK 74401-5073 |
| Robert L Shepler | Family Medicine | Warren Clinic Inc | 3332 W Okmulgee St, Muskogee, OK 74401-5069 |
| Ashley Anne Petersen | Pediatric Medicine | Warren Clinic Inc | 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 |
| Street Address |
3332 W OKMULGEE ST |
| City | MUSKOGEE |
| State | OK |
| Zip | 74401-5069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert L Shepler | Family Medicine | Warren Clinic Inc | 3332 W Okmulgee St, Muskogee, OK 74401-5069 |
| David Louis Kyger | Internal Medicine | Warren Clinic Inc | 3332 W Okmulgee St, Muskogee, OK 74401-5069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Patton | Psychiatry | 841 N 38th St, Brentwood Extended Care and Rehab LLC, Muskogee, OK 74401-2056 | |
| Ashley N Aldrich | Family Medicine | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Kendra Seccombe | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jetta D Ange | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Jennifer Lyn Stickelmeyer | Nurse Practitioner | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Stephanie J Garrett | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Caitlin M Ashley | Physician Assistant | Arkansas Verdigris Valley Health Centers,inc. | 201 N 32nd St, Muskogee, OK 74401-2104 |
| Erik E Paulson | Diagnostic Radiology | Landmark Cancer Center Gp LLC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Ravikumar Vasireddy | Hematology/oncology | Landmark Cancer Center Gp LLC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Bilal Ahmad | Hematology/oncology | Pinnacle Oncology Oklahoma PC | 301 N 32nd St, Muskogee, OK 74401-2106 |
| Find all physicians in zip 74401 | |||
| City | MUSKOGEE |
| Zip Code | 74401 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MUSKOGEE + NURSE PRACTITIONER |
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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.