Michele K Bucholtz (NPI# 1275754780, PAC ID# 6800951922) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1275754780 |
PAC ID by PECOS | 6800951922 |
Professional Enrollment ID | I20090224000312 |
Full Name | Michele K Bucholtz |
Address |
1102 W Cherokee St A Next Generation Family Medical Clinic LLC Wagoner OK 74467-4600 |
Gender | F |
Graduation Year | 2005 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370166 | WAGONER COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
1102 W Cherokee St A, Next Generation Family Medical Clinic LLC, Wagoner, OK 74467-4600 |
Street Address |
1102 W CHEROKEE ST A NEXT GENERATION FAMILY MEDICAL CLINIC LLC |
City | WAGONER |
State | OK |
Zip | 74467-4600 |
Name | Specialty | Organization | Address |
---|---|---|---|
Angela Marie Cohen | Physical Therapy | Redbud Physical Therapy LLC | 817 W Cherokee St, Wagoner, OK 74467-4616 |
Bradley Edward Holland | Physical Therapy | Redbud Physical Rehabilitation PC | 817 W Cherokee St, Wagoner, OK 74467-4616 |
John T Belk | Family Medicine | 1103 W Cherokee St, Wagoner, OK 74467-4621 | |
Jeffrey A Mitchell | Optometry | 1108 W Cherokee St, Wagoner, OK 74467-4622 | |
Harold E Goldman | Neurology | Eeg Corporation | 1200 W Cherokee, Wagoner, OK 74467-4624 |
Kayla D Lakin Southern | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Richard G Allen | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Michael S Freeman | General Surgery | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Thai-hao Nguyen | Family Medicine | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Shalini Sangal | Psychiatry | Wagoner Hospital Authority | 1200 W Cherokee St, Wagoner, OK 74467-4624 |
Find all physicians in zip 74467 |
City | WAGONER |
Zip Code | 74467 |
Specialty | FAMILY MEDICINE |
City + Specialty | WAGONER + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michele K Bucholtz.
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.