Larry L Ellis Jr. (NPI# 1972572576, PAC ID# 6608842166) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1972572576 |
| PAC ID by PECOS | 6608842166 |
| Professional Enrollment ID | I20040907000340 |
| Full Name | Larry L Ellis Jr. |
| Organization Legal Name | CHOCTAW NATION OF OKLAHOMA |
| Address |
1127 S George Nigh Expy Choctaw Nation Health Care Mcalester Mcalester OK 74501-7143 |
| Phone Number | 9185677000 |
| Gender | M |
| Credential | DO |
| Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
| Graduation Year | 1999 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 1759294838 |
| Number of Group Practice Members | 174 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370172 | CHOCTAW NATION HEALTH SERVICES AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 | 9185677000 | CHOCTAW NATION OF OKLAHOMA |
| Organization Legal Name | CHOCTAW NATION OF OKLAHOMA |
| Physicians | 161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Casey Woolsey | Nurse Practitioner | Choctaw Nation of Oklahoma | 902 Lincoln Rd, Choctaw National Health Care Idabel, Idabel, OK 74745-7817 |
| Darci Bowen | Nurse Practitioner | Choctaw Nation of Oklahoma | 1801 Chukkahina, Durant, OK 74701-7117 |
| Jennifer Michelle Parker | Nurse Practitioner | Choctaw Nation of Oklahoma | 2204 E Main Str, Choctaw Nation Health Care Stigler, Stigler, OK 74462-2822 |
| Jaclyn D Rouse | Optometry | Choctaw Nation of Oklahoma | 410 N M St, Choctaw Nation Health Care Hugo, Hugo, OK 74743-1820 |
| Jessica L Hall | Physician Assistant | Choctaw Nation of Oklahoma | 205 Dallas St, Talihina, OK 74571-2402 |
| Jonathan A Doyle | Psychiatry | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Teresa G Tucker | Nurse Practitioner | Choctaw Nation of Oklahoma | 1300 E Martin Luther King Dr, Broken Bow, OK 74728-4160 |
| Michael S. Krischer | Podiatry | Choctaw Nation of Oklahoma | 1201 W Liberty Rd, Choctaw Nation Health Care Atoka, Atoka, OK 74525-1639 |
| Charles T Whittenburg | Orthopedic Surgery | Choctaw Nation of Oklahoma | 698 Westside Dr, 106 Choctaw Nation Health Aging, Durant, OK 74701-3085 |
| Shiela D Riley | Nurse Practitioner | Choctaw Nation of Oklahoma | 1 Choctaw Way, Talihina, OK 74571-2022 |
| Street Address |
1127 S GEORGE NIGH EXPY CHOCTAW NATION HEALTH CARE MCALESTER |
| City | MCALESTER |
| State | OK |
| Zip | 74501-7143 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan A Doyle | Psychiatry | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Reed K Burk | Podiatry | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Christos E Vassiliou | Diagnostic Radiology | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Kyle G Flowers | Diagnostic Radiology | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Ashley E Elledge | Physician Assistant | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Paul Chin | General Practice | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Ann Mciver | Optometry | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Rachelle Ladawn Bradford | Nurse Practitioner | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| John D Walton | Diagnostic Radiology | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Michael A Doyle | Psychiatry | Choctaw Nation of Oklahoma | 1127 S George Nigh Expy, Choctaw Nation Health Care Mcalester, Mcalester, OK 74501-7143 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jolie K Mascoto | Chiropractic | 1609 N Strong Blvd, Mcalester, OK 74501-3839 | |
| Emory J Hilton | Podiatry | 1502 N Strong Blvd, Mcalester, OK 74501-3842 | |
| Amisty L Beck | Nurse Practitioner | Oklahoma Cancer Specialists and Research Institute, LLC | 901 N Strong Blvd, Mcalester, OK 74501-4206 |
| David W Hamblin | Urology | Oklahoma Cancer Specialists and Research Institute, LLC | 901 N Strong Blvd, Mcalester, OK 74501-4206 |
| Kamron Torbati | Obstetrics/gynecology | Mcalester Medical Services LLC | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Clarence Dallas Tarp | Certified Registered Nurse Anesthetist (crna) | Blue Sky Anesthesia Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| John Clay Bowen | Family Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Will Remington Goodrich | Emergency Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Bilal H Piracha | Family Medicine | Premier Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester, OK 74501-4209 |
| Rachel Maria Piston | Nurse Practitioner | Prime Physician Staffing 2 Pllc | 1 E Clark Bass Blvd, Mcalester Regional Hospital, Mcalester, OK 74501-4209 |
| Find all physicians in zip 74501 | |||
| City | MCALESTER |
| Zip Code | 74501 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | MCALESTER + OSTEOPATHIC MANIPULATIVE MEDICINE |
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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.