Kelsey Spencer (NPI# 1285109629, PAC ID# 7618212952) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1285109629 |
| PAC ID by PECOS | 7618212952 |
| Professional Enrollment ID | I20181214001658 |
| Full Name | Kelsey Spencer |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Address |
2400 N Hwy 66 B Utica Park Clinic Catoosa Catoosa OK 74015-3074 |
| Phone Number | 9182664433 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9436122496 |
| Number of Group Practice Members | 275 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370039 | HILLCREST HOSPITAL CLAREMORE |
| 370228 | BAILEY MEDICAL CENTER, LLC |
| 370202 | HILLCREST HOSPITAL SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 2400 N Hwy 66 B, Utica Park Clinic Catoosa, Catoosa, OK 74015-3074 | 9182664433 | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Organization Legal Name | AHS OKLAHOMA PHYSICIAN GROUP LLC |
| Physicians | 266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammie Wall Kelley | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1245 S Utica Ave, Suite 1, Tulsa, OK 74104-4214 |
| Lisa Mask Bull | Dermatology | Ahs Oklahoma Physician Group LLC | 9245 S Mingo Rd, Tulsa, OK 74133-5793 |
| Valerie Anne Mitchell | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 1501 N Florence, Suite 300 Utica Park Clinic Claremore Fam Pra Sport, Claremore, OK 74017-3255 |
| Christina Lou Martin | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 1551 N 9th St, Utica Park Clinic Broken Arrow North, Broken Arrow, OK 74012-8898 |
| Kristine Elaine Bryant | Obstetrics/gynecology | Ahs Oklahoma Physician Group LLC | 701 E Main, Jenks, OK 74037-4316 |
| Elwood F Williams Iii | Interventional Pain Management | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Ave, 100 Utica Park Clinic, Tulsa, OK 74133-7546 |
| Jaclyn Duvall | Neurology | Ahs Oklahoma Physician Group LLC | 8803 S 101st E Avenue, 280 Utica Park Clinic Neurology South, Tulsa, OK 74133-5783 |
| Aimee K Musgrove | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 6528 E 101st St, Suite I, Tulsa, OK 74133-6754 |
| Jeannette Windschitl | Nurse Practitioner | Ahs Oklahoma Physician Group LLC | 10215 N 110th E Ave, Suite 200, Owasso, OK 74055-6638 |
| Dae Yun Kim | Urology | Ahs Oklahoma Physician Group LLC | 1145 S Utica Ave, Suite 701, Tulsa, OK 74104-4019 |
| Street Address |
2400 N HWY 66 B UTICA PARK CLINIC CATOOSA |
| City | CATOOSA |
| State | OK |
| Zip | 74015-3074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason L Riffe | Family Medicine | Ahs Oklahoma Physician Group LLC | 2400 N Hwy 66 B, Utica Park Clinic Catoosa, Catoosa, OK 74015-3074 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kyle E Craig | Optometry | Eyecare of Catoosa Hills | 2036 S Miller Ln, Suite E, Catoosa, OK 74015-1539 |
| Andrew Christian Hurst | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 434 S Cherokee St, Catoosa, OK 74015-2710 |
| Catherine M Beam | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 434 S Cherokee St, Catoosa, OK 74015-2710 |
| Daniel F O Connor | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 434 S Cherokee St, Catoosa, OK 74015-2710 |
| Nancy A Childress-murphy | Psychiatry | 1818 N Hwy 66 B, Catoosa, OK 74015-3052 | |
| Stephen Forrest Shoemaker | Psychologist, Clinical | 1818 N Hwy 66, Suite B, Catoosa, OK 74015-3052 | |
| Glenda Gail Bieber | Clinical Social Worker | 1801 N Hwy 66, Catoosa, OK 74015-3067 | |
| Robert C Duke | Optometry | 2310 N Hwy 66 A, Catoosa, OK 74015-3070 | |
| Kenley L Utley | Nurse Practitioner | Access Medical Catoosa LLC | 1875 N Hwy 66, Catoosa, OK 74015-3072 |
| Lance Brandon Goodwin | Chiropractic | 2865 E Skelly Dr, Suite 200, Tulsa, OK 74015-6219 | |
| Find all physicians in zip 74015 | |||
| City | CATOOSA |
| Zip Code | 74015 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CATOOSA + NURSE PRACTITIONER |
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| 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.