Jake Wesley Landreth (NPI# 1902106768, PAC ID# 8820258817) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1902106768 |
| PAC ID by PECOS | 8820258817 |
| Professional Enrollment ID | I20120329000040 |
| Full Name | Jake Wesley Landreth |
| Address |
108 N Broadway Skiatook OK 74070-1222 |
| Gender | M |
| Medical School | LOGAN COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2010 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 108 N Broadway, Skiatook, OK 74070-1222 |
| Street Address |
108 N BROADWAY |
| City | SKIATOOK |
| State | OK |
| Zip | 74070-1222 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald C Roberson | Optometry | 210 S Bulldog Blvd, Skiatook, OK 74070-1073 | |
| Elizabeth A Goodman | Chiropractic | 1529 W Rogers Blvd, Suite C, Skiatook, OK 74070-1086 | |
| Layne E Subera | Family Medicine | Sdo Group LLC | 201 E 2nd St, Skiatook, OK 74070-1211 |
| Brooke R Ostberg | Nurse Practitioner | Sdo Group LLC | 201 E 2nd St, Skiatook, OK 74070-1211 |
| Jamie L Collins | Nurse Practitioner | Sdo Group LLC | 201 E 2nd St, Skiatook, OK 74070-1211 |
| Alicia G Carner | Physical Therapy | Redbud Physical Therapy LLC | 209 E Rogers Blvd, Skiatook, OK 74070-1251 |
| Wade R Matherly | Physician Assistant | Tulsa Emergency Medical Center Inc | 2254 W Rogers Blvd, Skiatook, OK 74070-3909 |
| Robert L Johnson | Chiropractic | 203 S Hominy Ave, Skiatook, OK 74070-3975 | |
| Samuel David Stewart | Physical Therapy | Drayer Physical Therapy Oklahoma LLC | 1355 W Rogers Blvd, Suite 10, Skiatook, OK 74070-4205 |
| Lacey J Pappan | Physical Therapy | Peak Rehabilitation P.C. | 1355 W Rogers, Skiatook, OK 74070-4205 |
| Find all physicians in zip 74070 | |||
| City | SKIATOOK |
| Zip Code | 74070 |
| Specialty | CHIROPRACTIC |
| City + Specialty | SKIATOOK + CHIROPRACTIC |
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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.