Christopher Wayne Greenhagen (NPI# 1356764195, PAC ID# 6204067671) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1356764195 |
| PAC ID by PECOS | 6204067671 |
| Professional Enrollment ID | I20140327001758 |
| Full Name | Christopher Wayne Greenhagen |
| Organization Legal Name | PONCA CITY IMMEDIATE CARE, LLC |
| Address |
1201 E Hartford Ave Ponca City OK 74601-2018 |
| Phone Number | 5807621911621911 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173854437 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370006 | PONCA CITY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 212 N Main St, Fairfax, OK 74637-3023 | 9186423100 | FAIRFAX MEDICAL FACILITIES INC |
| 716 S Hwy 77, Newkirk, OK 74647-7009 | 9186423100 | FAIRFAX MEDICAL FACILITIES INC |
| 1201 E Hartford Ave, Ponca City, OK 74601-2018 | 5807621911621911 | PONCA CITY IMMEDIATE CARE, LLC |
| Organization Legal Name | PONCA CITY IMMEDIATE CARE, LLC |
| Physicians | 1 |
| Street Address |
1201 E HARTFORD AVE |
| City | PONCA CITY |
| State | OK |
| Zip | 74601-2018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark A Oatman | Family Medicine | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Melissa S Honick | Physician Assistant | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Michelle A Darnall | Physician Assistant | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Lela J Goatley | Nurse Practitioner | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Katie L Biby | Nurse Practitioner | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Megan A Lawver | Nurse Practitioner | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Cherri Lawlis | Nurse Practitioner | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Angela L Ziegler | Nurse Practitioner | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Ahmad S Agha | Pediatric Medicine | Physicians Urgent Care Center Inc | 1201 E Hartford Ave, Ponca City, OK 74601-2018 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelsey Blaine Burnett | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Codi N Vilhauer | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Judy Nielsen | Physician Assistant | Amc Urgent Care Plus LLC | 2101 N 14th St, Suite 114, Ponca City, OK 74601-1807 |
| Thomas M Carter | Ophthalmology | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Mark Edward Rigney | Family Medicine | 400 Fairview, Bldg 3 Suite 20, Ponca City, OK 74601-1910 | |
| Phillip J Knight | Family Medicine | 400 Fairview Ave, Suite 15, Ponca City, OK 74601-1910 | |
| Michael S Schiff | Cardiovascular Disease (cardiology) | Integris Cardiovascular Physicians LLC | 400 Fairview Ave, Suite 19, Ponca City, OK 74601-1910 |
| William R Howard | Otolaryngology | 400 Fairview Ave, Suite 16, Ponca City, OK 74601-1910 | |
| Gary A Dorman | Optometry | 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1910 | |
| Shrikrishna V Vaidya | Neurology | 400 Fairview Ave, Ponca City, OK 74601-1910 | |
| Find all physicians in zip 74601 | |||
| City | PONCA CITY |
| Zip Code | 74601 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PONCA CITY + PHYSICIAN ASSISTANT |
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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.