Military Health Care Provider Health Providers - OKLAHOMA

171000000X - Military Health Care Provider

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

List of 19 registered providers with a business address in Oklahoma whose primary or secondary health provider taxonomy code is Military Health Care Provider, of which 1 are registered as organizations and 18 as individuals.

95% Individuals
5% Organizations
26% Female
68% Male
95% Individual Providers (18)5% Medical Organizations (1)26% Female Providers (5)68% Male Providers (13)

List of Providers

Provider Name Type AddressMedicarePECOS
GRANT MICHAEL CAPPSIndividual7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
(770) 713-1093
Non-Participating ProviderNO
GEORGE LEONARD ETTELIndividual7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
(727) 667-0390
Non-Participating ProviderNO
CLAYTON FRANKLIN FUQUAIndividual7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
(405) 582-6615
Non-Participating ProviderYES
KAYLA MARIE HAHNIndividual527 GOTT RD
ENID, OK 73705
(580) 213-7367
Non-Participating ProviderNO
PHILLIP WAYNE HALCUMIndividual109 KERR AVE
POTEAU, OK 74953
(918) 649-1100
Non-Participating ProviderYES
LIDIA STANA ILCUSIndividual71 MDG 527 GOTT ROAD
VANCE AFB, OK 73705
(580) 213-7494
Non-Participating ProviderNO
EVAN H LAMANIndividual4301 WILSON ST
LAWTON, OK 73503
(833) 286-3732
Non-Participating ProviderNO
JOHN MATYEIndividual6100 S WALKER AVE
OKLAHOMA CITY, OK 73139
(405) 634-4400
Non-Participating ProviderNO
WILLIAM MOOREIndividual7050 AIR DEPOT BLVD
TINKER AFB, OK 73145
(405) 734-2778
Non-Participating ProviderYES
WILLIAM CHRISTOPHER PETTYIndividual4301 WILSON ST
FORT SILL, OK 73503
(580) 558-2635
Accepts MedicareYES
DAVID PEYOKIndividual1401 W LOCUST ST
STILWELL, OK 74960
(918) 696-3101
Accepts MedicareYES
VANESSA PROFITIndividual4301 WILSON ST
FORT SILL, OK 73503
(240) 688-2490
Non-Participating ProviderNO
SHARON LYNNE ROGERSIndividual3415 MINOR RD
FORT SILL, OK 73503
(580) 442-6323
Non-Participating ProviderNO
NATHANIEL ROSOLIndividual7050 AIR DEPOT BLVD BLDG 1094
TINKER AFB, OK 73145
(405) 734-2778
Non-Participating ProviderYES
STETSON ROBERT SCHMITTIndividual5208 W RENO AVE
OKLAHOMA CITY, OK 73127
(405) 948-4900
Accepts MedicareNO
LOIS ANN UMDENSTOCKIndividual6136 S FULTON AVE
TULSA, OK 74136
(918) 493-1618
Non-Participating ProviderNO
US ARMYOrganization42 NE PHEASANT LN
LAWTON, OK 73507
(580) 529-2142
Non-Participating ProviderNO
JOSHUA CLARKE WEBBIndividualTINKER AFB, 6001 ARNOLD STREET
OKLAHOMA CITY, OK 73145
(208) 819-2245
Non-Participating ProviderNO

Showing page 1 of 1. The results table displays up to 100 results per page and is sorted by last name / organization name.

Individual Female Provider | Individual Male Provider | Medical Organization