Zachary A Fowler (NPI# 1164659983, PAC ID# 9133375322) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164659983 |
| PAC ID by PECOS | 9133375322 |
| Professional Enrollment ID | I20120802000724 |
| Full Name | Zachary A Fowler |
| Organization Legal Name | ST JOHN URGENT CARE CLINICS INC |
| Address |
402 W Morrow Rd Sand Springs OK 74063-6549 |
| Phone Number | 9182451119 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5890898084 |
| Number of Group Practice Members | 35 |
| 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 | 9182451119 | ST JOHN URGENT CARE CLINICS INC |
| 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 | 9187481300 | ST JOHN URGENT CARE CLINICS INC |
| 8131 S Memorial Dr, Suite 102, Tulsa, OK 74133-4348 | 9188726880 | ST JOHN URGENT CARE CLINICS INC |
| Organization Legal Name | ST JOHN URGENT CARE CLINICS INC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ashley Pojezny | Family Medicine | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Roger L Moore | Physician Assistant | St John Urgent Care Clinics Inc | 1910 S Falcon Ave, Claremore, OK 74019-2237 |
| 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 |
| Gina Leanne Anderson | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Kelly D Mullman | Physician Assistant | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Samara Janel Jack | Physician Assistant | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Demi Cook | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Rachel Beth Ray | Family Medicine | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Ricky Atwood | Nurse Practitioner | St John Urgent Care Clinics Inc | 1717 S Utica Ave, Suite A, Tulsa, OK 74104-5346 |
| Street Address |
402 W MORROW RD |
| City | SAND SPRINGS |
| State | OK |
| Zip | 74063-6549 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 |
| Rebecca C Shepard | Physician Assistant | 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 | FAMILY MEDICINE |
| City + Specialty | SAND SPRINGS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Zachary A Fowler.
| 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.