Michael G Gietzen (NPI# 1447273461, PAC ID# 7416925953) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1447273461 |
PAC ID by PECOS | 7416925953 |
Professional Enrollment ID | I20040922000343 |
Full Name | Michael G Gietzen |
Organization Legal Name | AHS PRYOR HOSPITAL, LLC |
Address |
562 S Elliott St Utica Park Clinic Elliott Pryor OK 74361-6411 |
Phone Number | 9188256334 |
Gender | M |
Credential | DO |
Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
Graduation Year | 1995 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 3072880624 |
Number of Group Practice Members | 9 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370015 | HILLCREST HOSPITAL PRYOR |
370001 | HILLCREST MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 | 9188256334 | AHS PRYOR HOSPITAL, LLC |
Organization Legal Name | AHS PRYOR HOSPITAL, LLC |
Physicians | 9 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darin Gwartney | Family Medicine | Ahs Pryor Hospital, LLC | 1301 Ne 1st St, 400 Utica Park Clinic Pryor, Pryor, OK 74361-8851 |
Johnie L Owens Iii | Family Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Kristin L Browning | Family Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Elizabeth Aurelia Weilert | Nurse Practitioner | Ahs Pryor Hospital, LLC | 1301 Ne 1st St, 400 Utica Park Clinic Pryor, Pryor, OK 74361-8851 |
Paul E Battles | Family Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
David R Ring | Family Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Khalid S Aly | Internal Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Omer R Nunley Jr. | General Surgery | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Street Address |
562 S ELLIOTT ST UTICA PARK CLINIC ELLIOTT |
City | PRYOR |
State | OK |
Zip | 74361-6411 |
Name | Specialty | Organization | Address |
---|---|---|---|
Johnie L Owens Iii | Family Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Kristin L Browning | Family Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Paul E Battles | Family Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
David R Ring | Family Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Khalid S Aly | Internal Medicine | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Omer R Nunley Jr. | General Surgery | Ahs Pryor Hospital, LLC | 562 S Elliott St, Utica Park Clinic Elliott, Pryor, OK 74361-6411 |
Name | Specialty | Organization | Address |
---|---|---|---|
Richard E Martin | Internal Medicine | 122 N Bailey, Pryor, OK 74361 | |
Steven L Dill | Family Medicine | 114 Dri, Pryor, OK 74361 | |
Shannon Antoinette Rowland | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 231 E Graham Ave, Pryor, OK 74361-2436 |
Donald L Peters | Chiropractic | 2 S Mayes St, Pryor, OK 74361-3232 | |
Arthur L Sixkiller | Chiropractic | 108 S Adair St, Pryor, OK 74361-3602 | |
Mandy Rutter | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 111 N Bailey St, Hc Hosp Pryor, Pryor, OK 74361-4201 |
Lori M Ormsby | Certified Clinical Nurse Specialist (cns) | Healogics Specialty Physicians of Oklahoma Pllc | 111 N Bailey St, Pryor, OK 74361-4201 |
David M White | Certified Registered Nurse Anesthetist (crna) | Emergenchealth LLC | 111 N Bailey St, Hc Hosp Pryor, Pryor, OK 74361-4201 |
Mania Hill-u | Clinical Social Worker | Grand Lake Mental Health Center, Inc. | 109 N Fairland St, Pryor, OK 74361-4203 |
Brett M Howell | Optometry | Howell Family Eye Care, Inc. | 2 S Rowe St, Pryor, OK 74361-4623 |
Find all physicians in zip 74361 |
City | PRYOR |
Zip Code | 74361 |
Specialty | FAMILY MEDICINE |
City + Specialty | PRYOR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael G Gietzen.
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.