Michael Ryan Vaclaw (NPI# 1942295308, PAC ID# 7012952658) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1942295308 |
| PAC ID by PECOS | 7012952658 |
| Professional Enrollment ID | I20100713000640 |
| Full Name | Michael Ryan Vaclaw |
| Organization Legal Name | PRIMARY CARE ASSOCIATES P L L C |
| Address |
4150 Se Adams Rd Bartlesville OK 74006-8410 |
| Phone Number | 9183319979 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3779525761 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370018 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 4150 Se Adams Rd, Bartlesville, OK 74006-8410 | 9183319979 | PRIMARY CARE ASSOCIATES P L L C |
| 4150 Se Adams Rd, Bartlesville, OK 74006-8410 | PRIMARY CARE ASSOCIATES PC |
| Organization Legal Name | PRIMARY CARE ASSOCIATES P L L C |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Redding Sherrock | Family Medicine | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| William W Davito | Family Medicine | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Janice C Shippy | Nurse Practitioner | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Mark D Erhardt | Family Medicine | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Daniel J Holdman | Emergency Medicine | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Michael Phillip Souter | Family Practice | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Street Address |
4150 SE ADAMS RD |
| City | BARTLESVILLE |
| State | OK |
| Zip | 74006-8410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Redding Sherrock | Family Medicine | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| William W Davito | Family Medicine | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Janice C Shippy | Nurse Practitioner | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Mark D Erhardt | Family Medicine | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Kevin M Mcnamara | Gastroenterology | Adult Gastroenterology Associates Inc | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Daniel J Holdman | Emergency Medicine | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Michael Phillip Souter | Family Practice | Primary Care Associates P L L C | 4150 Se Adams Rd, Bartlesville, OK 74006-8410 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dalton Christopher Smith | Physical Therapy | Tulsa Bone and Joint Associates PC | 4140 Seadams Rd, Bartlesville, OK 74006 |
| Huyen Luong | Qualified Audiologist | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Charles D Holland Jr. | Otolaryngology | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Margaret L White | Nurse Practitioner | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Mark Robertson | Otolaryngology | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Christie J Swaim | Speech Language Pathologist | Holland and Robertson Ear Nose and Throat LLC | 205 Se Howard Ave, Bartlesville, OK 74006-2204 |
| Nicole L Cupp | Podiatry | Nicole L. Cupp Dpm Pllc | 234 Se Debell Ave, Advanced Podiatry of Bartlesville, Bartlesville, OK 74006-2305 |
| Richard S.c. Grisham | Ophthalmology | Grisham Eye Associates PC | 3615 Se Kentucky St, Bartlesville, OK 74006-2324 |
| John W Hatchett | General Surgery | Oklahoma Cancer Specialists and Research Institute, LLC | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 |
| Patricia A Catts | Nurse Practitioner | Oklahoma Cancer Specialists and Research Institute, LLC | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 |
| Find all physicians in zip 74006 | |||
| City | BARTLESVILLE |
| Zip Code | 74006 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | BARTLESVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Ryan Vaclaw.
| 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.