Fredric A West (NPI# 1831140383, PAC ID# 6608840509) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1831140383 |
| PAC ID by PECOS | 6608840509 |
| Professional Enrollment ID | I20041025000307 |
| Full Name | Fredric A West |
| Organization Legal Name | NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC |
| Address |
101 E Ferry St Neohealth Salina Salina OK 74365-2988 |
| Phone Number | 9187722879 |
| Gender | M |
| Credential | PA |
| Graduation Year | 1995 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3678482635 |
| Number of Group Practice Members | 21 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370089 | NORTHEASTERN HEALTH SYSTEM |
| 040001 | SILOAM SPRINGS REGIONAL HOSPITAL |
| 370178 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 124 E Main St, Hulbert, OK 74441-8916 | 9187722879 | NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC |
| 101 E Ferry St, Neohealth Salina, Salina, OK 74365-2988 | 9187722879 | NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC |
| 605 W Buffington Rd, Westville, OK 74965-9433 | 9187233397 | NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC |
| Organization Legal Name | NORTHEASTERN OKLAHOMA COMMUNITY HEALTH CENTERS, INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chris Paul Hopkinson | Family Medicine | Northeastern Oklahoma Community Health Centers, Inc | 605 W Buffington Rd, Westville, OK 74965-9433 |
| Angela M Wiggins | Nurse Practitioner | Northeastern Oklahoma Community Health Centers, Inc | 1500 E Downing St, Suite 214, Tahlequah, OK 74464-3379 |
| Dani Gay Stone | Nurse Practitioner | Northeastern Oklahoma Community Health Centers, Inc | 101 E Ferry St, Neohealth Salina, Salina, OK 74365-2988 |
| Libby L Rogers | Nurse Practitioner | Northeastern Oklahoma Community Health Centers, Inc | 124 E Main St, Hulbert, OK 74441-8916 |
| Elissa Delong | Nurse Practitioner | Northeastern Oklahoma Community Health Centers, Inc | 124 E Main St, Hulbert, OK 74441-8916 |
| Shelly D Schoonover | Nurse Practitioner | Northeastern Oklahoma Community Health Centers, Inc | 124 E Main St, Hulbert, OK 74441-8916 |
| Virginia B Geddes | Certified Nurse Midwife (cnm) | Northeastern Oklahoma Community Health Centers, Inc | 124 E Main St, Hulbert, OK 74441-8916 |
| Kathy A. Ritchie | Nurse Practitioner | Northeastern Oklahoma Community Health Centers, Inc | 124 E Main St, Hulbert, OK 74441-8916 |
| Kenneth W Gibson | Family Medicine | Northeastern Oklahoma Community Health Centers, Inc | 124 E Main St, Hulbert, OK 74441-8916 |
| Larry Lorenzo Mccullough | Obstetrics/gynecology | Northeastern Oklahoma Community Health Centers, Inc | 124 E Main St, Hulbert, OK 74441-8916 |
| Street Address |
101 E FERRY ST NEOHEALTH SALINA |
| City | SALINA |
| State | OK |
| Zip | 74365-2988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dani Gay Stone | Nurse Practitioner | Northeastern Oklahoma Community Health Centers, Inc | 101 E Ferry St, Neohealth Salina, Salina, OK 74365-2988 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie M Gaskins | Nurse Practitioner | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Sharon Sodano Barnes | Family Medicine | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Dana Michelle Caviness | Nurse Practitioner | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Dominic J Totani | Family Medicine | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Kimberly Kaye Mulanax | Nurse Practitioner | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Carrie L Haney | Nurse Practitioner | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Seth Allen Rich | Optometry | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Michael Underwood | Family Medicine | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Emma Beth Harp | Family Medicine | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Candice J Burkart | Physician Assistant | Cherokee Nation | 900 N Owen Walters Boulevard, A Mo Health Center, Salina, OK 74365-5003 |
| Find all physicians in zip 74365 | |||
| City | SALINA |
| Zip Code | 74365 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SALINA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Fredric A West.
| 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.