William Joseph Durick (NPI# 1356339816, PAC ID# 7719982214) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
Nation Provider ID (NPI) | 1356339816 |
PAC ID by PECOS | 7719982214 |
Professional Enrollment ID | I20100108000364 |
Full Name | William Joseph Durick |
Organization Legal Name | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC |
Address |
10405 Us Hwy 59 N Grove Community Health Center Grove OK 74344-4502 |
Phone Number | 9182578029 |
Gender | M |
Medical School | KANSAS CITY UNIVERSITY OF PHYSICIANS AND SURGEONS |
Graduation Year | 1964 |
Primary Specialty | INTERNAL MEDICINE |
Group Practice PAC ID | 9133352081 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370113 | INTEGRIS GROVE HOSPITAL |
Address | Phone | Organization |
---|---|---|
10405 Us Hwy 59 N, Grove Community Health Center, Grove, OK 74344-4502 | 9182578029 | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC |
Organization Legal Name | COMMUNITY HEALTH CENTER OF NORTHEAST OKLAHOMA INC |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Dori L Deffit | Nurse Practitioner | Community Health Center of Northeast Oklahoma Inc | 244 S Scraper St D, Allensworth Community Health Center, Vinita, OK 74301-3740 |
Russell A Peters | Nurse Practitioner | Community Health Center of Northeast Oklahoma Inc | 138 S Main St, Afton, OK 74331-1822 |
Billy R Evans | Physician Assistant | Community Health Center of Northeast Oklahoma Inc | 21965 Bison Dr, Afton, OK 74331-0705 |
Melinda K Bailey | Nurse Practitioner | Community Health Center of Northeast Oklahoma Inc | 21965 Bison Dr, Afton, OK 74331-0705 |
Street Address |
10405 US HWY 59 N GROVE COMMUNITY HEALTH CENTER |
City | GROVE |
State | OK |
Zip | 74344-4502 |
Name | Specialty | Organization | Address |
---|---|---|---|
Luke R Leming | Family Medicine | Integris Ambulatory Care Corporation | 1001 E 18th St, Integris Grove Hospital, Grove, OK 74344-2097 |
Samuel J Ratermann | Family Medicine | Integris Ambulatory Care Corporation | 1001 E 18th St, Integris Grove Hospital, Grove, OK 74344-2097 |
Samantha L Chamberlain | Physical Therapy | Redbud Physical Therapy LLC | 1118 S Main St, Grove, OK 74344-2800 |
Michael Andrew Williams | Physical Therapy | Redbud Physical Therapy LLC | 1118 S Main St, Grove, OK 74344-2800 |
Sue Marie Montgomery | Physical Therapy | Redbud Physical Therapy LLC | 1118 S Main St, Grove, OK 74344-2800 |
Robert F Burke | Optometry | 1105 S Main St, Grove, OK 74344-2801 | |
Shawn M Anderson | Family Medicine | 700 S Main St, Grove, OK 74344-2841 | |
Gail L Offermann | Emergency Medicine | Rapid Remedy Urgent Care Center Pllc | 700 S Main St, Grove, OK 74344-2841 |
Marcia K Matthews | Family Practice | Rapid Remedy Urgent Care Center Pllc | 700 S Main St, Grove, OK 74344-2841 |
Burness R Yandell | Optometry | Ramie Lay Od PC | 1013 S Main St, Grove Eye Center, Grove, OK 74344-2847 |
Find all physicians in zip 74344 |
City | GROVE |
Zip Code | 74344 |
Specialty | INTERNAL MEDICINE |
City + Specialty | GROVE + INTERNAL MEDICINE |
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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.