Rebecca C Shepard (NPI# 1922093384, PAC ID# 9032112453) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1922093384 |
| PAC ID by PECOS | 9032112453 |
| Professional Enrollment ID | I20061006000207 |
| Full Name | Rebecca C Shepard |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Address |
402 W Morrow Rd Sand Springs OK 74063-6549 |
| Phone Number | 9182451328 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2003 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9739080490 |
| Number of Group Practice Members | 91 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370114 | ST JOHN MEDICAL CENTER, INC |
| Address | Phone | Organization |
|---|---|---|
| 402 W Morrow Rd, Sand Springs, OK 74063-6549 | 9182451328 | OMNI MEDICAL GROUP INC |
| 1923 S Utica Ave, Tulsa, OK 74104-6520 | 9187442967 | OMNI MEDICAL GROUP INC |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Physicians | 96 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Goldameir Akingbola | Family Medicine | Omni Medical Group Inc | 1021 E Bryan Ave, Sapulpa, OK 74066-4512 |
| Mitzi Blanchard | Nurse Practitioner | Omni Medical Group Inc | 1421 E 13th St, Tulsa, OK 74120-5207 |
| Kelly R Wratten | Nurse Practitioner | Omni Medical Group Inc | 8115 S Memorial Dr, Tulsa, OK 74133-4331 |
| Ana Trujillo | Nurse Practitioner | Omni Medical Group Inc | 4720 S Harvard Ave, Suite 100, Tulsa, OK 74135-3023 |
| Michael H Vu | Family Medicine | Omni Medical Group Inc | 800 W Boise Cir, Suite 160, Broken Arrow, OK 74012-4932 |
| Brian T Crotty | Family Medicine | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| David L Smith | Family Medicine | Omni Medical Group Inc | 13600 E 86th St N, Suite 100, Owasso, OK 74055-8732 |
| Michelle Green | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Monica A Lee | Physician Assistant | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Patricia Duffy-feins | Clinical Social Worker | Omni Medical Group Inc | 1923 S Utica Ave, Tulsa, OK 74104-6520 |
| Street Address |
402 W MORROW RD |
| City | SAND SPRINGS |
| State | OK |
| Zip | 74063-6549 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zachary A Fowler | Family Medicine | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Anna Mae Marie Kay | Physician Assistant | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Samuel H. Elzay | Physician Assistant | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Curtis Michael Coggins | General Practice | Omni Medical Group Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Carol D Wink | Physician Assistant | Omni Medical Group Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| William M James | Internal Medicine | Omni Medical Group Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Carla M Newton | Nurse Practitioner | Omni Medical Group Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Andrea Atwood | Nurse Practitioner | St John Urgent Care Clinics Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Annie Alex | Family Medicine | Omni Medical Group Inc | 402 W Morrow Rd, Sand Springs, OK 74063-6549 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell Dale Gilstrap | Nurse Practitioner | 3900 S 113th W Ave, Sand Springs, OK 74063-2724 | |
| Jeffrey W Tallant | Chiropractic | 3949 S Hwy 97, Sand Springs, OK 74063-3829 | |
| William H Dudney | Family Medicine | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Michele Tobey | Nurse Practitioner | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Gary R Lee | Emergency Medicine | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Jennifer Havens Zahn | Nurse Practitioner | Asmg Sand Springs | 3905 S Hwy 97, Sand Springs, OK 74063-3829 |
| Ashley Ann Bruce | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Lisa G King | Internal Medicine | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Kristen Elise Giordano | Physician Assistant | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Lisha R Porch-petitt | Certified Clinical Nurse Specialist (cns) | Ahs Oklahoma Physician Group LLC | 20 E 34th St, Utica Park Clinic San Springs, Sand Springs, OK 74063-4001 |
| Find all physicians in zip 74063 | |||
| City | SAND SPRINGS |
| Zip Code | 74063 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | SAND SPRINGS + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Rebecca C Shepard.
| 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.