Diane L Pentecost (NPI# 1902868029, PAC ID# 7113941246) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1902868029 |
| PAC ID by PECOS | 7113941246 |
| Professional Enrollment ID | I20060117000415 |
| Full Name | Diane L Pentecost |
| Organization Legal Name | ST. JOHN ANESTHESIA SERVICES, INC. |
| Address |
1004 E Bryan Ave St John Sapulpa Sapulpa OK 74066-4513 |
| Phone Number | 9187443664 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 1986 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4789607938 |
| Number of Group Practice Members | 90 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 | 9187443664 | ST. JOHN ANESTHESIA SERVICES, INC. |
| 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 | 9187442345 | ST. JOHN ANESTHESIA SERVICES, INC. |
| Organization Legal Name | ST. JOHN ANESTHESIA SERVICES, INC. |
| Physicians | 82 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian J Barki | Anesthesiology | St. John Anesthesia Services, Inc. | 1000 W Boise Cir, St John Broken Arrow, Broken Arrow, OK 74012-4900 |
| Bradford D Barber | Anesthesiology | St. John Anesthesia Services, Inc. | 3500 E Frank Phillips Blvd, Jane Phillips Medical Center, Bartlesville, OK 74006-2411 |
| Jonathan David Friend Ii | Anesthesiology | St. John Anesthesia Services, Inc. | 12451 E 100th St N, St John Owasso, Owasso, OK 74055-4600 |
| Dana L Terrell | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Tara A Mccants | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Brad W Stahlheber | Anesthesiology | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Daron V Brabham | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Ryan T Hladky | Anesthesiology Assistant | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Robin M Burch | Certified Registered Nurse Anesthetist (crna) | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Christopher J Hagen | Anesthesiology | St. John Anesthesia Services, Inc. | 1923 S Utica Ave, St John Medical Center, Tulsa, OK 74104-6520 |
| Street Address |
1004 E BRYAN AVE ST JOHN SAPULPA |
| City | SAPULPA |
| State | OK |
| Zip | 74066-4513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dana L Terrell | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Paul S Carlson | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Sean K Benton | Anesthesiology | St. John Anesthesia Services, Inc. | 1004 E Bryan Ave, St John Sapulpa, Sapulpa, OK 74066-4513 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasey M. Nichols | Chiropractic | 200 N Mission, Suite A, Sapulpa, OK 74066-3606 | |
| James Russell | Family Medicine | 308 S Main St, Sapulpa, OK 74066-4110 | |
| Kayla Warner | Nurse Practitioner | 124 E Dewey Ave, Suite A, Sapulpa, OK 74066-4204 | |
| Larry W Higgs | Optometry | Drs Higgs and Morris Optometrists Inc | 17 S Oak St, Sapulpa, OK 74066-4312 |
| Dennis M Morris | Optometry | Drs Higgs and Morris Optometrists Inc | 17 S Oak St, Sapulpa, OK 74066-4312 |
| Goldameir Akingbola | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Misty Dawn Stephens | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Jeremy Ransdell | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Jill Rae Johnson | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Sarah Renea Gilbert | Nurse Practitioner | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Find all physicians in zip 74066 | |||
| City | SAPULPA |
| Zip Code | 74066 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | SAPULPA + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Diane L Pentecost.
| 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.