Justin T Endersby (NPI# 1831138627, PAC ID# 9032122247) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1831138627 |
| PAC ID by PECOS | 9032122247 |
| Professional Enrollment ID | I20060711000445 |
| Full Name | Justin T Endersby |
| Organization Legal Name | WESTERN OKLAHOMA ANESTHESIA CONSULTANTS WOODWARD LLC |
| Address |
900 17th St Woodward OK 73801-2448 |
| Phone Number | 5803398001 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 3779817960 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370002 | ALLIANCEHEALTH WOODWARD |
| Address | Phone | Organization |
|---|---|---|
| 1710 W 3rd St, Suite 100, Elk City, OK 73644-5160 | 5803398001 | WESTERN OKLAHOMA ANESTHESIA CONSULTANTS PLLC |
| 1801 W 3rd St, Elk City, OK 73644-5145 | 5803398001 | WESTERN OKLAHOMA ANESTHESIA CONSULTANTS PLLC |
| 900 17th St, Woodward, OK 73801-2448 | 5803398001 | WESTERN OKLAHOMA ANESTHESIA CONSULTANTS WOODWARD LLC |
| Organization Legal Name | WESTERN OKLAHOMA ANESTHESIA CONSULTANTS WOODWARD LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason M Richardson | Certified Registered Nurse Anesthetist (crna) | Western Oklahoma Anesthesia Consultants Woodward LLC | 900 17th St, Woodward, OK 73801-2448 |
| Marisa A Endersby | Certified Registered Nurse Anesthetist (crna) | Western Oklahoma Anesthesia Consultants Woodward LLC | 900 17th St, Woodward, OK 73801-2448 |
| Gerald E Joseph | Certified Registered Nurse Anesthetist (crna) | Western Oklahoma Anesthesia Consultants Woodward LLC | 900 17th St, Woodward, OK 73801-2448 |
| Street Address |
900 17TH ST |
| City | WOODWARD |
| State | OK |
| Zip | 73801-2448 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason M Richardson | Certified Registered Nurse Anesthetist (crna) | Western Oklahoma Anesthesia Consultants Woodward LLC | 900 17th St, Woodward, OK 73801-2448 |
| Shawna Marissa Logan | Nurse Practitioner | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
| Marisa A Endersby | Certified Registered Nurse Anesthetist (crna) | Western Oklahoma Anesthesia Consultants Woodward LLC | 900 17th St, Woodward, OK 73801-2448 |
| Joanna Elliott | Nurse Practitioner | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
| Keenan L Ferguson | Hospitalist | Apogee Medical Group Oklahoma Inc | 900 17th St, Woodward, OK 73801-2448 |
| Madeline Kaye Cortez | Nurse Practitioner | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
| John D Sutton | Hospitalist | Apogee Medical Group Oklahoma Inc | 900 17th St, Woodward, OK 73801-2448 |
| Joel William Anderson Iii | Emergency Medicine | Emergency Services of Oklahoma PC | 900 17th St, Woodward, OK 73801-2448 |
| Richard S Carter | Emergency Medicine | Emergency Services of Oklahoma PC | 900 17th St, Woodward, OK 73801-2448 |
| Maysam Behzad-noori | Hospitalist | Apogee Medical Group Oklahoma Inc | 900 17th St, Woodward, OK 73801-2448 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gerald E Joseph | Certified Registered Nurse Anesthetist (crna) | Western Oklahoma Anesthesia Consultants Woodward LLC | 900 17th St, Woodward, OK 73801-2448 |
| Wendy Crotts | Nurse Practitioner | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
| Kathryn A Ray | Family Medicine | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
| Rebecca D Lewis | Family Medicine | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
| Brenda B Harris | Nurse Practitioner | Woodward Health System LLC | 900 17th St, Woodward, OK 73801-2448 |
| Martin T Reilly | Orthopedic Surgery | Woodward Clinic Company, LLC | 900 17th St, Woodward, OK 73801-2448 |
| Larry Brent Scott | Otolaryngology | Woodward Clinic Company, LLC | 900 17th St, Woodward, OK 73801-2448 |
| Christopher A Tarpein | Physician Assistant | Woodward Clinic Company, LLC | 1715 Main St, Woodward, OK 73801-2938 |
| Richard Troy Lehman | Obstetrics/gynecology | 1000 15th St, Woodward, OK 73801-3008 | |
| James M Keeney | Chiropractic | Northwest Chiropractic of Woodward Pllc | 1108 15th St, Woodward, OK 73801-3024 |
| Find all physicians in zip 73801 | |||
| City | WOODWARD |
| Zip Code | 73801 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | WOODWARD + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Justin T Endersby.
| 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.