Chad Stuckey (NPI# 1275715880, PAC ID# 9830468750) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1275715880 |
| PAC ID by PECOS | 9830468750 |
| Professional Enrollment ID | I20170710001713 |
| Full Name | Chad Stuckey |
| Organization Legal Name | INTEGRIS AMBULATORY CARE CORPORATION |
| Address |
3300 Nw 56th St 618 Vikas Jain Md Sleep Medicine Oklahoma City OK 73122-4470 |
| Phone Number | 4059512141 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 2365408465 |
| Number of Group Practice Members | 448 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370028 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
| 370106 | INTEGRIS SOUTHWEST MEDICAL CENTER |
| 370236 | INTEGRIS HEALTH EDMOND |
| 370211 | INTEGRIS CANADIAN VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3300 Nw 56th St, 618 Vikas Jain Md Sleep Medicine, Oklahoma City, OK 73122-4470 | 4059512141 | INTEGRIS AMBULATORY CARE CORPORATION |
| Organization Legal Name | INTEGRIS AMBULATORY CARE CORPORATION |
| Physicians | 467 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelby Lynn Plotkin | Physician Assistant | Integris Ambulatory Care Corporation | 4801 Integris Pkwy, Edmond, OK 73034-8864 |
| Shaye Nicole Wilson | Nurse Practitioner | Integris Ambulatory Care Corporation | 10 E 13th St, Integris Grove Express Care, Grove, OK 74344-5300 |
| Samer Hassan | Hematology/oncology | Integris Ambulatory Care Corporation | 4301 S Western Ave, Integris Cancer Inst Southwest, Oklahoma City, OK 73109-3411 |
| Ashley L Cochran | Family Medicine | Integris Ambulatory Care Corporation | 12200 Ashford Dr, Yukon, OK 73099-8762 |
| Justin Nalagan | Hospitalist | Integris Ambulatory Care Corporation | 4401 S Western Ave, Integris Southwest Hospitalists, Oklahoma City, OK 73109-3413 |
| Laura J Hofferber | Nurse Practitioner | Integris Ambulatory Care Corporation | 600 S Monroe St, Integris Bass Emer Svcs, Enid, OK 73701-7211 |
| Michael D Landes | Family Medicine | Integris Ambulatory Care Corporation | 915 E Garriott Rd G, Integris Fam Phys of The P, Enid, OK 73701-6154 |
| Afsaneh Faramarzi | Nurse Practitioner | Integris Ambulatory Care Corporation | 3366 Nw Expy, 250 Integris Spine and Neurosurg Surg, Oklahoma City, OK 73112-4427 |
| Phillip Mcghee | Family Medicine | Integris Ambulatory Care Corporation | 10914 Hefner Pointe Drste, 202 Integris Family Care Lake Pointe, Oklahoma City, OK 73120-5071 |
| Rui Zhang | Pain Management | Integris Ambulatory Care Corporation | 401 S 3rd St, Enid, OK 73701-5737 |
| Street Address |
3300 NW 56TH ST 618 VIKAS JAIN MD SLEEP MEDICINE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73122-4470 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rakesh Prasad | Internal Medicine | Internal Mediciine Associates of Oklahoma City, P.l.l.c | 3300 Nw 56th St, Suite 280, Oklahoma City, OK 73112-4401 |
| Dominic M Pedulla | Internal Medicine | 3300 Nw 56th St, Suite 200, Oklahoma City, OK 73112-4401 | |
| Van Hoy Woo | Radiation Oncology | 3300 Nw 56th St, Fl Ll100, Oklahoma City, OK 73112-4499 | |
| Sujata Prasad | Internal Medicine | Internal Mediciine Associates of Oklahoma City, P.l.l.c | 3300 Nw 56th St, Suite 280, Oklahoma City, OK 73112-4401 |
| Lorri J Dobbins | Obstetrics/gynecology | 3300 Nw 56th St, Suite 202, Oklahoma City, OK 73112-4401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Strother | Optometry | 3852 N Macarthur Blvd, Oklahoma City, OK 73122-2016 | |
| Sarah Cloughly | Physician Assistant | Advance Physicians Group | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 |
| Jacob K Labahn | Emergency Medicine | Advance Physicians Group | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 |
| Katrin Green | Physician Assistant | Advance Physicians Group | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 |
| Buffy Damron | Physician Assistant | Advance Physicians Group | 4510 Nw 39th St, Oklahoma City, OK 73122-2503 |
| City | OKLAHOMA CITY |
| Zip Code | 73122 |
| Specialty | NEUROLOGY |
| City + Specialty | OKLAHOMA CITY + NEUROLOGY |
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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.