Dallas Buck (NPI# 1336500701, PAC ID# 4981994845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1336500701 |
| PAC ID by PECOS | 4981994845 |
| Professional Enrollment ID | I20160606000292 |
| Full Name | Dallas Buck |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Address |
1919 S Wheeling Ave Suite 606 Tulsa OK 74104-5635 |
| Phone Number | 9187487676 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2567366495 |
| Number of Group Practice Members | 321 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1919 S Wheeling Ave, Suite 606, Tulsa, OK 74104-5635 | 9187487676 | ST JOHN PHYSICIANS INC |
| Organization Legal Name | ST JOHN PHYSICIANS INC |
| Physicians | 353 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Ann Wilson | Physician Assistant | St John Physicians Inc | 112 N 5th St, Barnsdall, OK 74002-6616 |
| Cara Leanne Thompson | Obstetrics/gynecology | St John Physicians Inc | 12455 E 100th St N, Suite 220, Owasso, OK 74055-4675 |
| Megan E Renz | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 3550 E Frank Phillips Blvd, Bartlesville, OK 74006-2411 |
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Jodi Oder | Nurse Practitioner | St John Physicians Inc | 1505 W 11th St, Coffeyville Office, Coffeyville, KS 67337-3622 |
| Tyler Auschwitz | Neurosurgery | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Jennifer M Minadeo | Internal Medicine | St John Physicians Inc | 1000 W Boise Circle, Emergency Room, Broken Arrow, OK 74012-4900 |
| James M Carver | Family Medicine | St John Physicians Inc | 218 W 4th Ave, Caney Office, Caney, KS 67333-1462 |
| Teressa H Lemaster | Certified Clinical Nurse Specialist (cns) | St John Physicians Inc | 1705 E 19th St, Suite 302, Tulsa, OK 74104-5410 |
| Casie Nicole Brim | Nurse Practitioner | St John Physicians Inc | 1705 E 19th St, Tulsa, OK 74104-5410 |
| Street Address |
1919 S WHEELING AVE SUITE 606 |
| City | TULSA |
| State | OK |
| Zip | 74104-5635 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul J Gehring | Obstetrics/gynecology | Ob Gyn Specialists of Tulsa Pllc | 1919 S Wheeling Ave, Ste. 700, Tulsa, OK 74104-5636 |
| Justin Worley | Nurse Practitioner | St John Physicians Inc | 1919 S Wheeling Ave, Suite 400, Tulsa, OK 74104-5633 |
| William R Grubb | Internal Medicine | 1919 S Wheeling Ave, Suite 710, Tulsa, OK 74104-5636 | |
| Nicholas Hanna | Cardiovascular Disease (cardiology) | St John Physicians Inc | 1919 S Wheeling Ave, Suite 504, Tulsa, OK 74104-5634 |
| Michael L Hubner | Internal Medicine | 1919 S Wheeling Ave, Suite 108, Tulsa, OK 74104-5637 | |
| Grant R Cox | Obstetrics/gynecology | Ob Gyn Specialists of Tulsa Pllc | 1919 S Wheeling Ave, Ste. 700, Tulsa, OK 74104-5636 |
| Terry Mills | Family Medicine | Omni Medical Group Inc | 1919 S Wheeling Ave, Lower Level 100, Tulsa, OK 74104-5638 |
| Dustin Cupp | Family Medicine | Omni Medical Group Inc | 1919 S Wheeling Ave, Suite 200, Tulsa, OK 74104-5631 |
| Janice Te | Infectious Disease | St John Physicians Inc | 1919 S Wheeling Ave, Suite 404, Tulsa, OK 74104-5634 |
| Jeremy R Salas | Neurology | Neurology LLPc | 1919 S Wheeling Ave, Suite 707, Tulsa, OK 74104-5636 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin Patrick | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Monte Harrel | Optometry | Oklahoma Vision Development Center | 111 S Lewis Ave, Tulsa, OK 74104-1616 |
| Curtis V Wolf Ii | Ophthalmology | 1145 S Utica Ave, Suite 362, Tulsa, OK 74104-4004 | |
| Kay L Worley | Neurology | Neuro Links of Tulsa, L.L.C. | 1145 S Utica Ave, Suite 901, Tulsa, OK 74104-4005 |
| Gabriela Corsi Vasquez | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Sristi Bhattarai | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Stephan Hambaz | Infectious Disease | Thi Specialists LLC | 1145 S Utica Ave, Suite G12, Tulsa, OK 74104-4009 |
| Zubair Ashraf | Rheumatology | 1145 S Utica Ave, Suite 1109, Tulsa, OK 74104-4010 | |
| Michelle M Pieratt | Anesthesiology | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Ivan Kozhulenko | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 1120 S Utica Ave, Hc Med Ctr, Tulsa, OK 74104-4012 |
| Find all physicians in zip 74104 | |||
| City | TULSA |
| Zip Code | 74104 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | TULSA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Dallas Buck.
| 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.