Justin T Atherton (NPI# 1912935644, PAC ID# 6406952969) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1912935644 |
| PAC ID by PECOS | 6406952969 |
| Professional Enrollment ID | I20100330000225 |
| Full Name | Justin T Atherton |
| Organization Legal Name | SURGERY INC |
| Address |
1725 E 19th St Suite 800 Tulsa OK 74104-5472 |
| Phone Number | 9183012505 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 9436255999 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| 370216 | TULSA SPINE & SPECIALTY HOSPITAL, LLC |
| 370227 | ST JOHN OWASSO |
| 371312 | ST JOHN SAPULPA, INC |
| Address | Phone | Organization |
|---|---|---|
| 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 | 9183012505 | SURGERY INC |
| Organization Legal Name | SURGERY INC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Rose | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Lawrence Brotherton | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Timothy W Hepner | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Stephen D Bruns | General Surgery | Surgery Inc | 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 |
| Rocky M Morgan | General Surgery | Surgery Inc | 12455 E 100th St N, Owasso, OK 74055-4600 |
| Street Address |
1725 E 19TH ST SUITE 800 |
| City | TULSA |
| State | OK |
| Zip | 74104-5472 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lynn Arnaud Anderson | Dermatology | L A Anderson LLC | 1725 E 19th St, Suite 702, Tulsa, OK 74104-5430 |
| Alen M Fuller | Otolaryngology | Tulsa Otolaryngology Inc. | 1725 E 19th St, Suite 100, Tulsa, OK 74104-5426 |
| Marcella Strickland | Qualified Audiologist | St John Physicians Inc | 1725 E 19th St, Suite 500, Tulsa, OK 74104-5422 |
| Stephen D Bruns | General Surgery | Surgery Inc | 1725 E 19th St, Suite 800, Tulsa, OK 74104-5472 |
| Daran L Parham | Obstetrics/gynecology | 1725 E 19th St, Suite 401, Tulsa, OK 74104-5437 | |
| Gail M Evans | Qualified Audiologist | Tulsa Otolaryngology Inc. | 1725 E 19th St, Suite 100, Tulsa, OK 74104-5426 |
| Melissa A Dietz | Obstetrics/gynecology | 1725 E 19th St, Suite 401, Tulsa, OK 74104-5421 | |
| Lindsay P Dilbeck | Physician Assistant | L A Anderson LLC | 1725 E 19th St, Suite 702, Tulsa, OK 74104-5430 |
| Kyle A Wilson | Obstetrics/gynecology | 1725 E 19th St, Suite 401, Tulsa, OK 74104-5409 | |
| Julia A Karlak | Internal Medicine | Drs Karlak and Martin | 1725 E 19th St, Suite 602, Tulsa, OK 74104-5424 |
| 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 | GENERAL SURGERY |
| City + Specialty | TULSA + GENERAL SURGERY |
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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.