Donna J Anderson (NPI# 1396812723, PAC ID# 7416942701) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1396812723 |
| PAC ID by PECOS | 7416942701 |
| Professional Enrollment ID | I20040416000611 |
| Full Name | Donna J Anderson |
| Organization Legal Name | TNI-KSO PC |
| Address |
1124 S Saint Louis Ave Tulsa OK 74120-5413 |
| Phone Number | 9185920296 |
| Gender | F |
| Credential | PA |
| Graduation Year | 1981 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 2062464399 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370202 | HILLCREST HOSPITAL SOUTH |
| 370001 | HILLCREST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 | 9185920296 | TNI-KSO PC |
| 1124 S St Louis, Tulsa, OK 74120-5413 | 9185855557 | TNI-KSO PC |
| Organization Legal Name | TNI-KSO PC |
| Physicians | 16 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anand D Udupa | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Sunil Agrawal | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Jay Fu | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Kristy K. Martin | Certified Clinical Nurse Specialist (cns) | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Lee Daniel Matlock | Nurse Practitioner | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Thomas C Kenkel | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Mary Ann Cameron | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Kusum Bhandari | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Robert M Gold | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Kate Suzanne Langston | Nurse Practitioner | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Street Address |
1124 S SAINT LOUIS AVE |
| City | TULSA |
| State | OK |
| Zip | 74120-5413 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Anand D Udupa | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Sunil Agrawal | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Jay Fu | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Kristy K. Martin | Certified Clinical Nurse Specialist (cns) | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Lee Daniel Matlock | Nurse Practitioner | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Thomas C Kenkel | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Mary Ann Cameron | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Kusum Bhandari | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Robert M Gold | Nephrology | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Kate Suzanne Langston | Nurse Practitioner | Tni-kso PC | 1124 S Saint Louis Ave, Tulsa, OK 74120-5413 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael D Landers | Sports Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Lori L Franklin | Nurse Practitioner | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Rocky Sowards | Physical Therapy | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Lauren Jennette Moore | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| James H Beebe | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Bren Jelea Ulberg | Clinical Social Worker | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Hannah Hargis | Physical Therapy | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Alton W Rae | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Christopher Crane | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Amanda Lynn Brown | Family Medicine | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | 1111 S St Louis Ave, Tulsa, OK 74120 |
| Find all physicians in zip 74120 | |||
| City | TULSA |
| Zip Code | 74120 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TULSA + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Donna J Anderson.
| 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.