Poorya Fazel (NPI# 1790993483, PAC ID# 6709937303) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1790993483 |
| PAC ID by PECOS | 6709937303 |
| Professional Enrollment ID | I20140808000363 |
| Full Name | Poorya Fazel |
| Organization Legal Name | SAINT FRANCIS HOSPITAL SOUTH LLC |
| Address |
10501 E 91st St Tulsa OK 74133-5790 |
| Phone Number | 9183076000 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2006 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Group Practice PAC ID | 7113829847 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370091 | SAINT FRANCIS HOSPITAL, INC |
| 370218 | SAINT FRANCIS HOSPITAL SOUTH, LLC |
| 370089 | NORTHEASTERN HEALTH SYSTEM |
| 370034 | MCALESTER REGIONAL HEALTH CENTER AUTHORITY |
| Address | Phone | Organization |
|---|---|---|
| 1401 E Van Buren Ave, Mcalester, OK 74501-4245 | 9184260240 | WARREN CLINIC INC |
| 10501 E 91st St, Tulsa, OK 74133-5790 | 9183076000 | SAINT FRANCIS HOSPITAL SOUTH LLC |
| 6161 S Yale Ave, Tulsa, OK 74136-1902 | 9185024720 | WARREN CLINIC INC |
| 6161 S Yale Ave, Tulsa, OK 74136-1902 | 9184946164 | SAINT FRANCIS HOSPITAL, INC. |
| 6600 S Yale Ave, Suite 1400, Tulsa, OK 74136-3331 | 9184886000 | WARREN CLINIC INC |
| Organization Legal Name | SAINT FRANCIS HOSPITAL SOUTH LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Anne Shaw-dressler | Cardiovascular Disease (cardiology) | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Tho D Le | Cardiovascular Disease (cardiology) | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Jane E Bare | Cardiovascular Disease (cardiology) | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| John G Ivanoff | Interventional Cardiology | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Ranilo L Vasquez | Internal Medicine | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Bryan A Lucenta | Interventional Cardiology | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Darwin B Childs | Interventional Cardiology | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Michael Spain | Interventional Cardiology | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| John M Cassidy | Cardiovascular Disease (cardiology) | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Street Address |
10501 E 91ST ST |
| City | TULSA |
| State | OK |
| Zip | 74133-5790 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Anne Shaw-dressler | Cardiovascular Disease (cardiology) | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Tho D Le | Cardiovascular Disease (cardiology) | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Jane E Bare | Cardiovascular Disease (cardiology) | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| John G Ivanoff | Interventional Cardiology | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Farshid Adam Amir Zandi | Internal Medicine | 10501 E 91st St, Tulsa, OK 74133-5888 | |
| Ranilo L Vasquez | Internal Medicine | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Bryan A Lucenta | Interventional Cardiology | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Darwin B Childs | Interventional Cardiology | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Michael Spain | Interventional Cardiology | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| John M Cassidy | Cardiovascular Disease (cardiology) | Saint Francis Hospital South LLC | 10501 E 91st St, Tulsa, OK 74133-5790 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia Jumelle | Pain Management | St John Physicians Inc | 8131 S Memorial, Suite 100, Tulsa, OK 74133 |
| Timothy J Gibson | Certified Registered Nurse Anesthetist (crna) | South Tulsa Anesthesia LLC | 9840 E 81 St, Suite 200, Tulsa, OK 74133 |
| Bernard N Robinowitz | Dermatology | Ahs Oklahoma Physician Group LLC | 8804 S 101st E Ave, Suite 385, Tulsa, OK 74133 |
| Courtney E White | Physical Therapy | 7345 S 99th E Ave, Empowerme Woodland Hills, Tulsa, OK 74133-1001 | |
| Brett M Enyart | Optometry | Triad Eye Institute Pllc | 8023 E 63rd Pl, Suite 500, Tulsa, OK 74133-1209 |
| Rebekah S Nunn | Chiropractic | 7615 E 63rd Pl, Suite 104, Tulsa, OK 74133-1231 | |
| Sandra A Mackey | Optometry | 8925 E 61st St, Suite A, Tulsa, OK 74133-1308 | |
| Jess T Roy | Family Medicine | 8316 E 61st Street, Neighborhood Walk In Medical Clinic, Tulsa, OK 74133-1908 | |
| Angela Dawn July | Nurse Practitioner | Rodi LLC | 8316 E 61st Street, Tulsa, OK 74133-1908 |
| Jessica Lynn Montesano | Chiropractic | Health Wise Chiropractic Inc PC | 9104 E 62nd St, Tulsa, OK 74133-1915 |
| Find all physicians in zip 74133 | |||
| City | TULSA |
| Zip Code | 74133 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | TULSA + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Poorya Fazel.
| 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.