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drData.json
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281 lines (281 loc) · 130 KB
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[
{ "LastName": "Alalawi", "FirstName": "Raed", "FullName": "Alalawi, Raed", "MiddleName": "H.", "MedicalDegree": "MD", "ProviderOrganization": "Zuhdi Transplant Physicians", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3349", "FaxNumber": "", "IHPSpecialty": "Intensivist", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Allen", "FirstName": "Arielle", "FullName": "Allen, Arielle", "MiddleName": "M.", "MedicalDegree": "DO", "ProviderOrganization": "INTEGRIS Urogynecology", "StreetAddress": "3366 NW Expressway", "AddressLine2": "Suite 250", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-6945", "FaxNumber": "", "IHPSpecialty": "Urogynecology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Amil", "FirstName": "Azhar", "FullName": "Amil, Azhar", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "4200 S Douglas Avenue", "AddressLine2": "Suite 104", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405/600-7201", "FaxNumber": "405/478-5223", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Anderson", "FirstName": "Serena", "FullName": "Anderson, Serena", "MiddleName": "S.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Memorial West", "StreetAddress": "5915 W Memorial Road", "AddressLine2": "Suite 300", "City": "Oklahoma City", "State": "OK", "Zip": 73142, "PhoneNumber": "405/773-6665", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "7/30/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Anderson", "FirstName": "Jerome", "FullName": "Anderson, Jerome", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 400", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Anderson", "FirstName": "R.", "FullName": "Anderson, R.", "MiddleName": "Lacy", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC NORMAN", "StreetAddress": "700 24th Avenue NW", "AddressLine2": "", "City": "Norman", "State": "OK", "Zip": 73069, "PhoneNumber": "405/364-0555", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Angles", "FirstName": "Erik", "FullName": "Angles, Erik", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Baptist Associates", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Attn Emergency Dept", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2541", "FaxNumber": "", "IHPSpecialty": "Emergency Medicine", "ProviderAgreementEffectiveDate": "7/1/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Armstrong", "FirstName": "Aaron", "FullName": "Armstrong, Aaron", "MiddleName": "K.", "MedicalDegree": "DO", "ProviderOrganization": "Aaron Armstrong, DO", "StreetAddress": "620 S Madison", "AddressLine2": "Suite 107", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580-977-1854", "FaxNumber": "580-977-1857", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "08/01/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Asbury", "FirstName": "Jeffrey", "FullName": "Asbury, Jeffrey", "MiddleName": "M", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 400", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Banner", "FirstName": "William", "FullName": "Banner, William", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Baptist Associates", "StreetAddress": "3300 NW Expressway", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-4101", "FaxNumber": "", "IHPSpecialty": "Pediatric Hospitalist/Intensivist", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Barajas", "FirstName": "Francisco", "FullName": "Barajas, Francisco", "MiddleName": "Javier", "MedicalDegree": "DO", "ProviderOrganization": "Francisco Javier Barajas, MD Clinic", "StreetAddress": "915 E Garriott Road", "AddressLine2": "Suite E ", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/213-9785", "FaxNumber": "580/213-9786", "IHPSpecialty": "Internal Medicine", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Barnes", "FirstName": "Heather", "FullName": "Barnes, Heather", "MiddleName": "Dianne", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC YUKON", "StreetAddress": "1205 Health Center Parkway", "AddressLine2": "Suite 100", "City": "Yukon", "State": "OK", "Zip": 73099, "PhoneNumber": "405/717-5400", "FaxNumber": "405/717-6820", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Barrett", "FirstName": "Rebecca", "FullName": "Barrett, Rebecca", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Southwest", "StreetAddress": "4221 S. Western", "AddressLine2": "Suite 3030", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405-636-7650", "FaxNumber": "405-636-7743", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "7/24/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Barsaloux", "FirstName": "Andrew", "FullName": "Barsaloux, Andrew", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Bauman", "FirstName": "Mary Ann", "FullName": "Bauman, Mary Ann", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC CENTRAL", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 500", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-4787", "FaxNumber": "", "IHPSpecialty": "Internal Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Baylor", "FirstName": "Dustin", "FullName": "Baylor, Dustin", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "Parkview Family Practice", "StreetAddress": "620 S. Madison", "AddressLine2": "Suite 202 ", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/977-1834", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Beeson", "FirstName": "Shawnaree", "FullName": "Beeson, Shawnaree", "MiddleName": "Lee", "MedicalDegree": "DO", "ProviderOrganization": "Dr. Shawnaree Beeson", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 210", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-4701", "FaxNumber": "405/945-4728", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Bell ", "FirstName": "Patrick", "FullName": "Bell , Patrick", "MiddleName": "A.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Renaissance", "StreetAddress": "1700 Renaissance Blvd", "AddressLine2": "", "City": "Edmond", "State": "OK", "Zip": 73034, "PhoneNumber": "405/844-1199", "FaxNumber": "405/844-1109", "IHPSpecialty": "General Surgery", "ProviderAgreementEffectiveDate": "6-19-14 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Benton", "FirstName": "Jami", "FullName": "Benton, Jami", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Family First / Cherokee Family Clinic", "StreetAddress": "915 E Garriott Road", "AddressLine2": "Suite K", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/213-9765", "FaxNumber": "580/242-4306", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Bergner", "FirstName": "Michelle", "FullName": "Bergner, Michelle", "MiddleName": "R.", "MedicalDegree": "MD", "ProviderOrganization": "Obstetrics & Gynecology of Enid", "StreetAddress": "601 W Owen Garriott", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/233-1100", "FaxNumber": "580/548-1434", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Betensley", "FirstName": "Alan", "FullName": "Betensley, Alan", "MiddleName": "D.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Nazih Zudhi Transplant Institute", "StreetAddress": "3300 NW Expressway", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3349", "FaxNumber": "", "IHPSpecialty": "Transplant Pulmonology", "ProviderAgreementEffectiveDate": "7/31/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Bethea", "FirstName": "Charles", "FullName": "Bethea, Charles", "MiddleName": "F.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 400", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Bilal", "FirstName": "Ahmad", "FullName": "Bilal, Ahmad", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "9/29/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Bilal", "FirstName": "Bassam", "FullName": "Bilal, Bassam", "MiddleName": "Refaat", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC CENTRAL", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 500", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-4570", "FaxNumber": "", "IHPSpecialty": "Internal Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Blaschke", "FirstName": "Jon", "FullName": "Blaschke, Jon", "MiddleName": "P.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Heart Hospital", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 660", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "7/31/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Blunk", "FirstName": "Jim ", "FullName": "Blunk, Jim ", "MiddleName": "", "MedicalDegree": "DO", "ProviderOrganization": "Medford Family Clinic / Caldwell Family Clinic", "StreetAddress": "158 E Sunset Drive", "AddressLine2": "Suite B", "City": "Medford", "State": "OK", "Zip": 73759, "PhoneNumber": "580/395-2319", "FaxNumber": "580/395-2551", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Boeckman", "FirstName": "Celeste", "FullName": "Boeckman, Celeste", "MiddleName": "A.", "MedicalDegree": "DO", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "9/29/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Bourne", "FirstName": "Catrina", "FullName": "Bourne, Catrina", "MiddleName": "F", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC YUKON", "StreetAddress": "1205 Health Center Parkway", "AddressLine2": "Suite 100", "City": "Yukon", "State": "OK", "Zip": 73099, "PhoneNumber": "405/717-5400", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Breed", "FirstName": "Jason", "FullName": "Breed, Jason", "MiddleName": "S.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC YUKON", "StreetAddress": "1205 Health Center Parkway", "AddressLine2": "Suite 100", "City": "Yukon", "State": "OK", "Zip": 73099, "PhoneNumber": "405/717-5440", "FaxNumber": "405/717-5441", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "7/31/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Brown", "FirstName": "Douglas", "FullName": "Brown, Douglas", "MiddleName": "K.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Heart and Vascular Institute of NW Oklahoma", "StreetAddress": "707 S Monroe", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/616-7630", "FaxNumber": "580/237-7516", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Brown", "FirstName": "Donald", "FullName": "Brown, Donald", "MiddleName": "C.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Women's Care", "StreetAddress": "3330 NW 56th Street", "AddressLine2": "Suite 300", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-5275", "FaxNumber": "", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Brown", "FirstName": "Robert", "FullName": "Brown, Robert", "MiddleName": "C.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 800", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/946-9831", "FaxNumber": "", "IHPSpecialty": "Internal Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Bryan", "FirstName": "Billy", "FullName": "Bryan, Billy", "MiddleName": "", "MedicalDegree": "DO", "ProviderOrganization": "IBMC Emergency Room", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Attn Emergency Dept", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2541", "FaxNumber": "", "IHPSpecialty": "Emergency Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Bryant", "FirstName": "Charles", "FullName": "Bryant, Charles", "MiddleName": "E.", "MedicalDegree": "MD", "ProviderOrganization": "Charles Bryant, MD", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 950", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-9940", "FaxNumber": "", "IHPSpecialty": "Orthopedic Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Buatsi", "FirstName": "Delali", "FullName": "Buatsi, Delali", "MiddleName": "K.", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/316-0262", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Burget", "FirstName": "Brad", "FullName": "Burget, Brad", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Central", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 500", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405-945-4322", "FaxNumber": "", "IHPSpecialty": "Internal Medicine / Pediatrics", "ProviderAgreementEffectiveDate": "07/28/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Bushman", "FirstName": "Jonathan", "FullName": "Bushman, Jonathan", "MiddleName": "K.", "MedicalDegree": "DO", "ProviderOrganization": "Family Care Services of Enid", "StreetAddress": "915 E Owen K Garriott", "AddressLine2": "Suite A", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "5810/242-2021", "FaxNumber": "580/237-1925", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Butler", "FirstName": "Jack", "FullName": "Butler, Jack", "MiddleName": "D.", "MedicalDegree": "DO", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7103", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Carey", "FirstName": "Christopher", "FullName": "Carey, Christopher", "MiddleName": "D.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS General Surgery Baptist", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 412", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-9935", "FaxNumber": "405/713-9936", "IHPSpecialty": "General Surgery", "ProviderAgreementEffectiveDate": "1/1/2015 - employed physician; 10/4/2011 - indep physician", "AffiliationLocation": "" },
{ "LastName": "Carnine", "FirstName": "Thad", "FullName": "Carnine, Thad", "MiddleName": "A.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Orthopedic Central", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 950", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405-713-9940", "FaxNumber": "", "IHPSpecialty": "Orthopedic Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Caudle", "FirstName": "Matthew", "FullName": "Caudle, Matthew", "MiddleName": "D.", "MedicalDegree": "MD", "ProviderOrganization": "IBMC Emergency Room", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Attn Emergency Dept", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2541", "FaxNumber": "", "IHPSpecialty": "Emergency Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Chaffin", "FirstName": "John", "FullName": "Chaffin, John", "MiddleName": "S.", "MedicalDegree": "MD", "ProviderOrganization": "OK Cardiovascular Surgeons", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 670", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-4345", "FaxNumber": "", "IHPSpecialty": "Cardio/Vasc/Thoracic Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Chan", "FirstName": "Peter", "FullName": "Chan, Peter", "MiddleName": "P.", "MedicalDegree": "DO", "ProviderOrganization": "IMG - IFC SOUTHPENN", "StreetAddress": "8600 S Pennsylvania", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73159, "PhoneNumber": "405/681-9270", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Chastain", "FirstName": "Lauren", "FullName": "Chastain, Lauren", "MiddleName": "E.", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "7/1/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Chen", "FirstName": "Best", "FullName": "Chen, Best", "MiddleName": "", "MedicalDegree": "DO", "ProviderOrganization": "INTEGRIS NW Hospitalist Group", "StreetAddress": "600 S Monroe", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/548-1367", "FaxNumber": "580/548-1537", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Chrysant", "FirstName": "George", "FullName": "Chrysant, George", "MiddleName": "S", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 660", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Clapp", "FirstName": "Todd", "FullName": "Clapp, Todd", "MiddleName": "D.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC SOUTHWEST", "StreetAddress": "4221 S Western Avenue", "AddressLine2": "Suite 3030", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405/644-6250", "FaxNumber": "", "IHPSpecialty": "Internal Medicine/Pediatrics", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
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{ "LastName": "El Banayosy", "FirstName": "Aly", "FullName": "El Banayosy, Aly", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Nazih Zuhdi Transplant Institute", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Dept. 100-3443", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405-949-3349", "FaxNumber": "405-552-0450", "IHPSpecialty": "Cardiology / Heart Failure", "ProviderAgreementEffectiveDate": "09/02/2014 - employed physician", "AffiliationLocation": "" },
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{ "LastName": "Fathian", "FirstName": "Asal", "FullName": "Fathian, Asal", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 290", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2237", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "11/11/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Feldman", "FirstName": "Michael", "FullName": "Feldman, Michael", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Bass Psychiatric Services", "StreetAddress": "2216 S Van Buren", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73703, "PhoneNumber": "580/234-2220", "FaxNumber": "580/233-8922", "IHPSpecialty": "Psychiatry", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
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{ "LastName": "Fitzgerald, Jr.", "FirstName": "James", "FullName": "Fitzgerald, Jr., James", "MiddleName": "M.", "MedicalDegree": "DO", "ProviderOrganization": "Team Health", "StreetAddress": "2900 S. Telephone Road", "AddressLine2": "Suite 250", "City": "Moore", "State": "OK", "Zip": 73160, "PhoneNumber": "405/488-0750", "FaxNumber": "", "IHPSpecialty": "Emergency Medicine", "ProviderAgreementEffectiveDate": "11/17/2011 - modified agreement", "AffiliationLocation": "" },
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{ "LastName": "Fowler", "FirstName": "Joey", "FullName": "Fowler, Joey", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Lake Pointe", "StreetAddress": "10914 Hefner Pointe Drive", "AddressLine2": "Suite 202", "City": "Oklahoma City", "State": "OK", "Zip": 73120, "PhoneNumber": "405/815-6840", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "3/31/2013 - employed physician", "AffiliationLocation": "" },
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{ "LastName": "Harrington", "FirstName": "James", "FullName": "Harrington, James", "MiddleName": "E.", "MedicalDegree": "DO", "ProviderOrganization": "INTEGRIS Specialty Care of Enid", "StreetAddress": "2821 N Van Buren", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73703, "PhoneNumber": "580/213-9799", "FaxNumber": "580/234-2474", "IHPSpecialty": "Orthopedic Surgery", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
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{ "LastName": "Hola", "FirstName": "Alan", "FullName": "Hola, Alan", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "Alan Hola, MD", "StreetAddress": "3400 NW Expressway", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3816", "FaxNumber": "", "IHPSpecialty": "Transplant Nephrologist", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
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{ "LastName": "Houk", "FirstName": "L.", "FullName": "Houk, L.", "MiddleName": "Wayne", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Women's Care", "StreetAddress": "3330 NW 56th Street", "AddressLine2": "Suite 300", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-5275", "FaxNumber": "", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Hromas", "FirstName": "Richard", "FullName": "Hromas, Richard", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "Urgent Care Plus / Minor Emergency Clinic", "StreetAddress": "1805 W Owen K Garriott Road", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73703, "PhoneNumber": "580/233-9012", "FaxNumber": "580/249-4269", "IHPSpecialty": "Urgent Care", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Huang", "FirstName": "Yi", "FullName": "Huang, Yi", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Nazih Zudhi Transplant Institute", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Dept 100-3444", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3349", "FaxNumber": "", "IHPSpecialty": "Transplant Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Husain", "FirstName": "Farhat", "FullName": "Husain, Farhat", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Neurology", "StreetAddress": "3366 NW Expressway", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-9930", "FaxNumber": "405/713-9931", "IHPSpecialty": "Neurology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Hyde", "FirstName": "Glen", "FullName": "Hyde, Glen", "MiddleName": "D.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Adult Medicine", "StreetAddress": "1608 Professional Circle", "AddressLine2": "", "City": "Yukon", "State": "OK", "Zip": 73099, "PhoneNumber": "405/354-2118", "FaxNumber": "405/354-1380", "IHPSpecialty": "Internal Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Jackson", "FirstName": "Michael", "FullName": "Jackson, Michael", "MiddleName": "S.", "MedicalDegree": "MD", "ProviderOrganization": "Michael S Jackson, MD", "StreetAddress": "620 S Madison", "AddressLine2": "Suite 301", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/233-6350", "FaxNumber": "580/233-6106", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Janzen", "FirstName": "Dwayne", "FullName": "Janzen, Dwayne", "MiddleName": "L.", "MedicalDegree": "DO", "ProviderOrganization": "Family Care Services of Enid", "StreetAddress": "915 E Garriott", "AddressLine2": "Suite A", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/977-1910", "FaxNumber": "580/237-1925", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Jett", "FirstName": "Mason", "FullName": "Jett, Mason", "MiddleName": "P.", "MedicalDegree": "MD", "ProviderOrganization": "Jett Surgical Practice PC", "StreetAddress": "3330 NW 56th Street", "AddressLine2": "Suite 616", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/605-6880", "FaxNumber": "405/605-6881", "IHPSpecialty": "General Surgery", "ProviderAgreementEffectiveDate": "10/24/2011, employee eff 11/8/2013", "AffiliationLocation": "" },
{ "LastName": "Jones", "FirstName": "Jeffrey", "FullName": "Jones, Jeffrey", "MiddleName": "R.", "MedicalDegree": "DO", "ProviderOrganization": "Family Physicians of the Plains", "StreetAddress": "620 S Madison", "AddressLine2": "Suite 209", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/548-1544", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Jones", "FirstName": "Jeffrey", "FullName": "Jones, Jeffrey", "MiddleName": "R.", "MedicalDegree": "DO", "ProviderOrganization": "Jeffrey Jones, DO", "StreetAddress": "620 S Madison", "AddressLine2": "Suite 209", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/548-1544", "FaxNumber": "", "IHPSpecialty": "Urgent Care", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Kanaly", "FirstName": "Paul", "FullName": "Kanaly, Paul", "MiddleName": "J.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Health", "StreetAddress": "3300 Northwest Expressway", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-4345", "FaxNumber": "", "IHPSpecialty": "Cardio/Vasc/Thoracic Surgery", "ProviderAgreementEffectiveDate": "5/1/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Karia", "FirstName": "Darshak", "FullName": "Karia, Darshak", "MiddleName": "H.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Advanced Cardiac Care", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 210", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3422", "FaxNumber": "", "IHPSpecialty": "Congestive Heart Failure", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Kelley", "FirstName": "Jeanette", "FullName": "Kelley, Jeanette", "MiddleName": "M.", "MedicalDegree": "DO", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Dept 195-6703", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2337", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Kesinger", "FirstName": "Adrienne", "FullName": "Kesinger, Adrienne", "MiddleName": "E.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC SOUTH", "StreetAddress": "1600 SW 119th", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73170, "PhoneNumber": "405/425-8150", "FaxNumber": "", "IHPSpecialty": "Internal Medicine/Pediatrics", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Khastgir", "FirstName": "Terrance", "FullName": "Khastgir, Terrance", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3366 NW Expressway", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/948-7571", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Khodaverdian", "FirstName": "Reza", "FullName": "Khodaverdian, Reza", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Heart Hospital", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 400", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-4392", "FaxNumber": "", "IHPSpecialty": "Cardio/Vasc/Thoracic Surgery", "ProviderAgreementEffectiveDate": "9/16/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Kincheloe", "FirstName": "Lawrence", "FullName": "Kincheloe, Lawrence", "MiddleName": "Reed", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC CENTRAL", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 500", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-4589", "FaxNumber": "", "IHPSpecialty": "OB Hospitalist", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Knudsen", "FirstName": "Marc ", "FullName": "Knudsen, Marc ", "MiddleName": "D.", "MedicalDegree": "DO", "ProviderOrganization": "IBMC Emergency Room", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Attn Emergency Dept", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2541", "FaxNumber": "", "IHPSpecialty": "Emergency Medicine", "ProviderAgreementEffectiveDate": "12/8/2011 - modified agreement; rehired as employee 4/24/2013", "AffiliationLocation": "" },
{ "LastName": "Koerner", "FirstName": "Michael", "FullName": "Koerner, Michael", "MiddleName": "M.", "MedicalDegree": "MD, PhD", "ProviderOrganization": "INTEGRIS Nazih Zuhdi Transplant Institute", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 210", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7417", "FaxNumber": "405-552-0450", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "09/02/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Kohli", "FirstName": "Vivek", "FullName": "Kohli, Vivek", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "Vivek Kohli, MD", "StreetAddress": "3300 NW Expressway", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3349", "FaxNumber": "", "IHPSpecialty": "Transplant Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Krishna", "FirstName": "Raja", "FullName": "Krishna, Raja", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG-INTEGRIS Hositalists", "StreetAddress": "3300 NW Expressway", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "405/713-2974", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "2/1/2015 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Krishnan", "FirstName": "Preethi", "FullName": "Krishnan, Preethi", "MiddleName": "S.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Baptist", "StreetAddress": "3330 NW 56th Street", "AddressLine2": "Suite 220", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7402", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Lackey", "FirstName": "J.", "FullName": "Lackey, J.", "MiddleName": "David", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Canadian Valley OB/GYN", "StreetAddress": "3366 NW Expressway", "AddressLine2": "Suite 250", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-4545", "FaxNumber": "405/949-6948", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Lane", "FirstName": "Richard", "FullName": "Lane, Richard", "MiddleName": "T.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 660", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Langford", "FirstName": "Tracy", "FullName": "Langford, Tracy", "MiddleName": "", "MedicalDegree": "DO", "ProviderOrganization": "INTEGRIS Mental Health", "StreetAddress": "5100 N Brookline", "AddressLine2": "Suite 925", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/717-9830", "FaxNumber": "405-945-0190", "IHPSpecialty": "Psychiatry", "ProviderAgreementEffectiveDate": "6/29/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Le", "FirstName": "Hamilton", "FullName": "Le, Hamilton", "MiddleName": "S.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Weight Loss Center", "StreetAddress": "3366 NW Expressway", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2131", "FaxNumber": "405/951-2135", "IHPSpecialty": "Bariatric Medicine", "ProviderAgreementEffectiveDate": "11/29/12 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Leitch", "FirstName": "Steven", "FullName": "Leitch, Steven", "MiddleName": "M.", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Lentz", "FirstName": "Christopher", "FullName": "Lentz, Christopher", "MiddleName": "W.", "MedicalDegree": "MD", "ProviderOrganization": "Christopher Lentz, MD", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Attn NZTI", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3345", "FaxNumber": "", "IHPSpecialty": "Burn Surgery", "ProviderAgreementEffectiveDate": "1/7/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Livingston", "FirstName": "Tanya", "FullName": "Livingston, Tanya", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC YUKON", "StreetAddress": "1205 Health Center Parkway", "AddressLine2": "Suite 100", "City": "Yukon", "State": "OK", "Zip": 73099, "PhoneNumber": "405/717-5400", "FaxNumber": "405/717-6995", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Lockwood", "FirstName": "Robert", "FullName": "Lockwood, Robert", "MiddleName": "J.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC YUKON", "StreetAddress": "1205 Health Center Parkway", "AddressLine2": "Suite 100", "City": "Yukon", "State": "OK", "Zip": 73099, "PhoneNumber": "405/717-5400", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Long", "FirstName": "James", "FullName": "Long, James", "MiddleName": "W.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Advanced Cardiac Care", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7040", "FaxNumber": "405/713-9919", "IHPSpecialty": "Transplant Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Lybrand, III", "FirstName": "Fred", "FullName": "Lybrand, III, Fred", "MiddleName": "E.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 400", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
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{ "LastName": "Mitro", "FirstName": "Joseph", "FullName": "Mitro, Joseph", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "Canadian Valley Women's Clinic", "StreetAddress": "1205 Health Center Parkway", "AddressLine2": "Suite 240", "City": "Yukon", "State": "OK", "Zip": 73099, "PhoneNumber": "405-717-5496", "FaxNumber": "", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
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{ "LastName": "Molina", "FirstName": "Marco", "FullName": "Molina, Marco", "MiddleName": "Tulio", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC SOUTHWEST", "StreetAddress": "4221 S Western Avenue", "AddressLine2": "Suite 3030", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405/636-7407", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Morgan", "FirstName": "Michael", "FullName": "Morgan, Michael", "MiddleName": "B.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC SOUTHWEST", "StreetAddress": "4221 S Western Avenue", "AddressLine2": "Suite 3030", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405/636-7625", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Morris", "FirstName": "Michael", "FullName": "Morris, Michael", "MiddleName": "P.", "MedicalDegree": "MD", "ProviderOrganization": "Michael Morris, MD", "StreetAddress": "3300 NW Expressway", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3349", "FaxNumber": "", "IHPSpecialty": "Pediatric GI Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
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{ "LastName": "Muchmore", "FirstName": "John", "FullName": "Muchmore, John", "MiddleName": "S.", "MedicalDegree": "MD, PhD", "ProviderOrganization": "INTEGRIS Endocrinology North", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 710", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-4700", "FaxNumber": "", "IHPSpecialty": "Endocrinology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Muckala", "FirstName": "Ashley", "FullName": "Muckala, Ashley", "MiddleName": "Nicole", "MedicalDegree": "DO", "ProviderOrganization": "IMG - IFC Coffee Creek", "StreetAddress": "2916 N Kelly Avenue", "AddressLine2": "", "City": "Edmond", "State": "OK", "Zip": 73003, "PhoneNumber": "405/715-5370", "FaxNumber": "405/715-5350", "IHPSpecialty": "Internal Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Munagala", "FirstName": "Mrudula", "FullName": "Munagala, Mrudula", "MiddleName": "R.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Nazih Zudhi Transplant Institute", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7040", "FaxNumber": "", "IHPSpecialty": "Cardiology / Heart Failure", "ProviderAgreementEffectiveDate": "9/11/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Mussa", "FirstName": "Mahdi", "FullName": "Mussa, Mahdi", "MiddleName": "A.", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/740-5515", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Myers", "FirstName": "Richard", "FullName": "Myers, Richard", "MiddleName": "L.", "MedicalDegree": "DO", "ProviderOrganization": "IBMC Emergency Room", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Attn Emergency Dept", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2541", "FaxNumber": "", "IHPSpecialty": "Emergency Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Nagode", "FirstName": "Cory", "FullName": "Nagode, Cory", "MiddleName": "D.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC SOUTH", "StreetAddress": "1600 SW 119th", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73170, "PhoneNumber": "405/425-8120", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Neagu", "FirstName": "Valeriu", "FullName": "Neagu, Valeriu", "MiddleName": "R.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Endocrinology North", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 710", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-4700", "FaxNumber": "", "IHPSpecialty": "Endocrinology", "ProviderAgreementEffectiveDate": "9/20/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Neel", "FirstName": "James", "FullName": "Neel, James", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "OK Cardiovascular Surgeons", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 670", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405-951-4345", "FaxNumber": "405-951-4392", "IHPSpecialty": "Cardio/Vasc/Thoracic Surgery", "ProviderAgreementEffectiveDate": "7/31/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Nelson", "FirstName": "David", "FullName": "Nelson, David", "MiddleName": "P.", "MedicalDegree": "MD", "ProviderOrganization": "Zuhdi Transplant Physicians", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3349", "FaxNumber": "", "IHPSpecialty": "Transplant Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Nguyen", "FirstName": "Trung", "FullName": "Nguyen, Trung", "MiddleName": "B.", "MedicalDegree": "MD", "ProviderOrganization": "Trung B Nguyen, MD Inc / Pain Management Center of NW Oklahoma", "StreetAddress": "401 S Third", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/237-7246", "FaxNumber": "580/249-4152", "IHPSpecialty": "Pain Management", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Nguyen", "FirstName": "Long", "FullName": "Nguyen, Long", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "1/5/2015 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Nguyen", "FirstName": "Joseph", "FullName": "Nguyen, Joseph", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC SOUTH", "StreetAddress": "1600 SW 119th Street", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73170, "PhoneNumber": "405/425-8160", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "7/31/2013 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Nida", "FirstName": "Brooke", "FullName": "Nida, Brooke", "MiddleName": "Allison", "MedicalDegree": "MD", "ProviderOrganization": "IFC Edmond Renaissance", "StreetAddress": "1700 S Renaissance ", "AddressLine2": "", "City": "Edmond", "State": "OK", "Zip": 73013, "PhoneNumber": "405/844-4300", "FaxNumber": "405/844-4383", "IHPSpecialty": "Pediatrics", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Norman", "FirstName": "Jennifer", "FullName": "Norman, Jennifer", "MiddleName": "K.", "MedicalDegree": "MD", "ProviderOrganization": "Jennifer Norman, MD", "StreetAddress": "3330 NW 56th Street", "AddressLine2": "Suite 305", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7060", "FaxNumber": "", "IHPSpecialty": "Pediatric Neurology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Norris", "FirstName": "Ryan", "FullName": "Norris, Ryan", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiology Southwest", "StreetAddress": "4221 S. Western Avenue", "AddressLine2": "Suite 2010", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405-644-5120", "FaxNumber": "405-644-5309", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Nyatsanza", "FirstName": "Ignatius", "FullName": "Nyatsanza, Ignatius", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Owens", "FirstName": "Tomas", "FullName": "Owens, Tomas", "MiddleName": "P.", "MedicalDegree": "MD", "ProviderOrganization": "Great Plains Family Medicine", "StreetAddress": "3500 NW 56th Street", "AddressLine2": "Suite 100", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2855", "FaxNumber": "405/951-2858", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Palla", "FirstName": "Amruth", "FullName": "Palla, Amruth", "MiddleName": "R.", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "11/30/2012 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Palmer", "FirstName": "Philip", "FullName": "Palmer, Philip", "MiddleName": "R.", "MedicalDegree": "MD", "ProviderOrganization": "Great Plains Family Medicine", "StreetAddress": "3500 NW 56th Street", "AddressLine2": "Suite 100", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2855", "FaxNumber": "405/951-2858", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Patel", "FirstName": "Joy", "FullName": "Patel, Joy", "MiddleName": "G.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Nazih Zudhi Transplant Institute", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Dept 100-3444", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3349", "FaxNumber": "", "IHPSpecialty": "Hepatologist", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Patzkowsky", "FirstName": "Gary", "FullName": "Patzkowsky, Gary", "MiddleName": "L.", "MedicalDegree": "DO", "ProviderOrganization": "INTEGRIS Bass Occupational Medicine", "StreetAddress": "401 S 3rd", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/548-1112", "FaxNumber": "580/548-1538", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
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{ "LastName": "Schrader", "FirstName": "John", "FullName": "Schrader, John", "MiddleName": "O.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Heart and Vascular Institute of NW Oklahoma", "StreetAddress": "707 S Monroe", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/616-7630", "FaxNumber": "580/237-7516", "IHPSpecialty": "Interventional Cardiology", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
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{ "LastName": "Stellman", "FirstName": "Christopher", "FullName": "Stellman, Christopher", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Baptist", "StreetAddress": "3330 NW 56th Street", "AddressLine2": "Suite 220", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405-713-7469", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "07/21/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Stocco", "FirstName": "Amber", "FullName": "Stocco, Amber", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Pediatric Neurology", "StreetAddress": "3330 NW 56th Street", "AddressLine2": "Suite 305", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7060", "FaxNumber": "405/713-7064", "IHPSpecialty": "Pediatric Neurology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Stockert", "FirstName": "Kassi", "FullName": "Stockert, Kassi", "MiddleName": "D", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC YUKON", "StreetAddress": "1205 Health Center Parkway", "AddressLine2": "Suite 100", "City": "Yukon", "State": "OK", "Zip": 73099, "PhoneNumber": "405/717-5400", "FaxNumber": "405/717-5438", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Sutor", "FirstName": "Ronald", "FullName": "Sutor, Ronald", "MiddleName": "J.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 660", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Tallerico", "FirstName": "Daniel", "FullName": "Tallerico, Daniel", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Edmond East", "StreetAddress": "4833 INTEGRIS Parkway ", "AddressLine2": "Suite 200", "City": "Edmond", "State": "OK", "Zip": 73034, "PhoneNumber": "405/657-3950", "FaxNumber": "", "IHPSpecialty": "Gynecology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Tartaglione", "FirstName": "Dawn", "FullName": "Tartaglione, Dawn", "MiddleName": "", "MedicalDegree": "DO", "ProviderOrganization": "Dawn Tartaglione, DO", "StreetAddress": "4221 S Western Avenue", "AddressLine2": "Suite 5045", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405/644-5185", "FaxNumber": "", "IHPSpecialty": "Neurosurgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Theobald", "FirstName": "Lara", "FullName": "Theobald, Lara", "MiddleName": "J.", "MedicalDegree": "MD", "ProviderOrganization": "ICIO - Medical Oncology", "StreetAddress": "5915 W Memorial Road", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73142, "PhoneNumber": "405/773-6400", "FaxNumber": "405/621-5441", "IHPSpecialty": "Oncology / Medical", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Truong", "FirstName": "Terrence", "FullName": "Truong, Terrence", "MiddleName": "T.", "MedicalDegree": "MD", "ProviderOrganization": "Great Plains Family Practice", "StreetAddress": "3500 NW 56th Street", "AddressLine2": "Suite 100", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2855", "FaxNumber": "405/951-2858", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Tucker", "FirstName": "Keelie", "FullName": "Tucker, Keelie", "MiddleName": "R.", "MedicalDegree": "MD", "ProviderOrganization": "Obstetrics and Gynecology of Enid", "StreetAddress": "620 S Madison", "AddressLine2": "Suite 107", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/213-9760", "FaxNumber": "580/213-9769", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Vanhooser", "FirstName": "David", "FullName": "Vanhooser, David", "MiddleName": "W.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Heart and Vascular Institute of NW Oklahoma", "StreetAddress": "707 S Monroe", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/616-7634", "FaxNumber": "580/548-1108", "IHPSpecialty": "Cardio/Vasc/Thoracic Surgery", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Vanhooser", "FirstName": "Jonathan", "FullName": "Vanhooser, Jonathan", "MiddleName": "Ross", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Bass Baptist Health Center/INTEGRIS NW Hospitalist Group", "StreetAddress": "600 S Monroe", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/233-2300", "FaxNumber": "", "IHPSpecialty": "Radiology", "ProviderAgreementEffectiveDate": "5/1/2015 - employeed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Walia", "FirstName": "Atul", "FullName": "Walia, Atul", "MiddleName": "A.", "MedicalDegree": "DO", "ProviderOrganization": "INTEGRIS Inteventional Pain", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 900", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-4359", "FaxNumber": "", "IHPSpecialty": "Pain Management", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Wall", "FirstName": "Raymond", "FullName": "Wall, Raymond", "MiddleName": "Louis", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC SOUTH", "StreetAddress": "1600 SW 119th", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73170, "PhoneNumber": "405/425-8130", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Warner", "FirstName": "Ernest", "FullName": "Warner, Ernest", "MiddleName": "G.", "MedicalDegree": "MD", "ProviderOrganization": "Northwest Internal Medicine", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 800", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/946-9831", "FaxNumber": "", "IHPSpecialty": "Neurology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Weaver", "FirstName": "David", "FullName": "Weaver, David", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "Obstetrics and Gynecology of Enid", "StreetAddress": "601 W Owen Garriott", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/233-1100", "FaxNumber": "580/548-1434", "IHPSpecialty": "OB/GYN", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Wellington", "FirstName": "Mark", "FullName": "Wellington, Mark", "MiddleName": "L.", "MedicalDegree": "DO", "ProviderOrganization": "IMG - IFC SOUTHPENN", "StreetAddress": "8600 S Pennsylvania", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73159, "PhoneNumber": "405/681-6625", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "West", "FirstName": "Eric", "FullName": "West, Eric", "MiddleName": "A.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC SOUTHWEST", "StreetAddress": "4221 S Western Avenue", "AddressLine2": "Suite 3030", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405/644-6260", "FaxNumber": "", "IHPSpecialty": "Internal Medicine/Pediatrics", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "White", "FirstName": "David", "FullName": "White, David", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS NW Hospitalist Group", "StreetAddress": "600 S Monroe", "AddressLine2": "", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/248-1367", "FaxNumber": "580/548-1537", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "White", "FirstName": "James", "FullName": "White, James", "MiddleName": "P.", "MedicalDegree": "MD", "ProviderOrganization": "James White, MD", "StreetAddress": "3366 NW Expressway", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/945-4800", "FaxNumber": "", "IHPSpecialty": "Internal Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "White", "FirstName": "Kevin", "FullName": "White, Kevin", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "IBMC Emergency Room", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Attn Emergency Dept", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2541", "FaxNumber": "", "IHPSpecialty": "Emergency Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Whitson", "FirstName": "Brian", "FullName": "Whitson, Brian", "MiddleName": "D.", "MedicalDegree": "MD", "ProviderOrganization": "Pulmonary Associates of Enid", "StreetAddress": "4101 E Oklahoma", "AddressLine2": "Suite A", "City": "Enid", "State": "OK", "Zip": 73701, "PhoneNumber": "580/213-9741", "FaxNumber": "580/213-9740", "IHPSpecialty": "Pulmonary Disease/Critical Care", "ProviderAgreementEffectiveDate": "1/1/2014 - employed physician", "AffiliationLocation": "ENID" },
{ "LastName": "Wilkinson", "FirstName": "John", "FullName": "Wilkinson, John", "MiddleName": "D.", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "10/25/12 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Williams", "FirstName": "Curtis", "FullName": "Williams, Curtis", "MiddleName": "Brian", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 400", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Internal Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Williams", "FirstName": "Michael ", "FullName": "Williams, Michael ", "MiddleName": "O.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Orthopedics Edmond", "StreetAddress": "2619 N. Kelly Avenue", "AddressLine2": "", "City": "Edmond", "State": "OK", "Zip": 73003, "PhoneNumber": "405-715-5320", "FaxNumber": "", "IHPSpecialty": "Orthopedic Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Wilson", "FirstName": "Brent", "FullName": "Wilson, Brent", "MiddleName": "C.", "MedicalDegree": "MD", "ProviderOrganization": "IBMC Emergency Room", "StreetAddress": "3300 NW Expressway", "AddressLine2": "Attn Emergency Dept", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-4029", "FaxNumber": "", "IHPSpecialty": "Emergency Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Wong", "FirstName": "Grand", "FullName": "Wong, Grand", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Renaissance", "StreetAddress": "1700 Renaissance Blvd.", "AddressLine2": "", "City": "Edmond", "State": "OK", "Zip": 73013, "PhoneNumber": "405-844-4300", "FaxNumber": "405-844-4333", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "8/1/2014 - employed physician", "AffiliationLocation": "" },
{ "LastName": "Wong", "FirstName": "Kenneth", "FullName": "Wong, Kenneth", "MiddleName": "Matthew", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 660", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Woods", "FirstName": "Bronwyn", "FullName": "Woods, Bronwyn", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "IMG - IFC Baptist", "StreetAddress": "3330 NW 56th Street", "AddressLine2": "Suite 220", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7422", "FaxNumber": "", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Woodson", "FirstName": "Alexa", "FullName": "Woodson, Alexa", "MiddleName": "G.", "MedicalDegree": "MD", "ProviderOrganization": "Great Plains Family Medicine", "StreetAddress": "3500 NW 56th Street", "AddressLine2": "Suite 100", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/951-2855", "FaxNumber": "405/951-2825", "IHPSpecialty": "Family Medicine / General Practice", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Worcester", "FirstName": "Gary", "FullName": "Worcester, Gary", "MiddleName": "L.", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Cardiovascular Physicians, LLC", "StreetAddress": "3433 NW 56th Street", "AddressLine2": "Suite 400", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/947-3341", "FaxNumber": "", "IHPSpecialty": "Cardiology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Yasin", "FirstName": "Irim", "FullName": "Yasin, Irim", "MiddleName": "S.", "MedicalDegree": "MD", "ProviderOrganization": "ICIO - Medical Oncology", "StreetAddress": "5915 W Memorial Rd.", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73142, "PhoneNumber": "405/773-6400", "FaxNumber": "405/621-5441", "IHPSpecialty": "Oncology / Hematology", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Yong", "FirstName": "Ye", "FullName": "Yong, Ye", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "Zuhdi Transplant Physicians", "StreetAddress": "3400 NW Expressway", "AddressLine2": "Suite 200", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/949-3349", "FaxNumber": "", "IHPSpecialty": "Transplant Surgery", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Zeiler", "FirstName": "Steven", "FullName": "Zeiler, Steven", "MiddleName": "B.", "MedicalDegree": "MD", "ProviderOrganization": "IMG Hospitalist Program", "StreetAddress": "5300 N Independence", "AddressLine2": "Suite 280", "City": "Oklahoma City", "State": "OK", "Zip": 73112, "PhoneNumber": "405/713-7403", "FaxNumber": "", "IHPSpecialty": "Hospitalists", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" },
{ "LastName": "Zeng", "FirstName": "Wenjia", "FullName": "Zeng, Wenjia", "MiddleName": "", "MedicalDegree": "MD", "ProviderOrganization": "INTEGRIS Jim Thorpe Rehab", "StreetAddress": "4219 S Western", "AddressLine2": "", "City": "Oklahoma City", "State": "OK", "Zip": 73109, "PhoneNumber": "405/644-5256", "FaxNumber": "", "IHPSpecialty": "Physical Medicine/Rehabilitative Medicine", "ProviderAgreementEffectiveDate": "employed physician", "AffiliationLocation": "" }
]