Clell W Pond (NPI# 1093795510, PAC ID# 5890848543) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1093795510 |
| PAC ID by PECOS | 5890848543 |
| Professional Enrollment ID | I20090729000227 |
| Full Name | Clell W Pond |
| Organization Legal Name | NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC |
| Address |
1130 E Lansing Suite A Broken Arrow OK 74012-2429 |
| Phone Number | 9182589990 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 8527224252 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 | 9182589990 | NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC |
| 1130 E Lansing St, Suite B, Broken Arrow, OK 74012-2429 | 9182589111 | NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC |
| Organization Legal Name | NORTHEAST OKLAHOMA PHYSICIAN NETWORK INC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ted Lee Barrett | Nurse Practitioner | Northeast Oklahoma Physician Network Inc | 1130 E Lansing St, Suite B, Broken Arrow, OK 74012-2429 |
| Patricia Joyce Iven | Physician Assistant | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Barry Don Troutman | Family Medicine | Northeast Oklahoma Physician Network Inc | 2440 E 81st St, Tulsa, OK 74137-4200 |
| Keri Enns | Nurse Practitioner | Northeast Oklahoma Physician Network Inc | 2440 E 81st St, Tulsa, OK 74137-4200 |
| Harleen Kaur Grewal | Internal Medicine | Northeast Oklahoma Physician Network Inc | 2440 E 81st St, Tulsa, OK 74137-4200 |
| Betsy Graham | Nurse Practitioner | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Kelly A Gilcrest | Physician Assistant | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Jay A Geary | Family Medicine | Northeast Oklahoma Physician Network Inc | 2440 E 81st St, Tulsa, OK 74137-4200 |
| Clinton R Childs | Family Medicine | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Lora J Mitchell | Physician Assistant | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Street Address |
1130 E LANSING SUITE A |
| City | BROKEN ARROW |
| State | OK |
| Zip | 74012-2429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Joyce Iven | Physician Assistant | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Betsy Graham | Nurse Practitioner | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Kelly A Gilcrest | Physician Assistant | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Clinton R Childs | Family Medicine | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Lora J Mitchell | Physician Assistant | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Richard Adam Ferguson | Physician Assistant | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Sarah D Mcauliff | Nurse Practitioner | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Suite A, Broken Arrow, OK 74012-2429 |
| Kyndol M Ray | Nurse Practitioner | Northeast Oklahoma Physician Network Inc | 1130 E Lansing, Broken Arrow, OK 74012-2429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott M Hibbets | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Brad F Wells | Optometry | 433 Stone Wood Dr, Broken Arrow, OK 74012-1026 | |
| Travis D Ring | Chiropractic | 2433 N Aspen Ave, Broken Arrow, OK 74012-1142 | |
| Marilyn Sue Taylor | Physician Assistant | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jeffrey L Halford | Physical Medicine and Rehabilitation | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Jo-anna Coppin Lohr | Nurse Practitioner | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Brent W Henderson | Anesthesiology | Pmo Medical Pllc | 1751 N Aspen Ave, Broken Arrow, OK 74012-1197 |
| Dena Marie Brunk | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Amira A Al Jiboori | Physical Therapy | Redbud Physical Rehabilitation PC | 1700 W Albany, Suite 310, Broken Arrow, OK 74012-1478 |
| Emily Lynne Sweeney | Physical Therapy | Redbud Physical Therapy LLC | 1700 W Albany St, Suite 310, Broken Arrow, OK 74012-1478 |
| Find all physicians in zip 74012 | |||
| City | BROKEN ARROW |
| Zip Code | 74012 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BROKEN ARROW + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Clell W Pond.
| 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.