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Physician Compare National (NPI:1801867965)

HEALTHCARE PROVIDER: LESLIE JANELLE WHITT DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1801867965
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 9739144825
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20041201000009
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name WHITT
Individual professional last name
Provider First Name LESLIE
Individual professional first name
Provider Middle Name JANELLE
Individual professional middle name
Provider Gender F
The provider's gender if the provider is a person.
Provider Credential Text DO
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Individual professional's medical school
Graduation Year 1997
Individual professional's medical school graduation year
Primary Specialty FAMILY MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Organization Legal Name BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA OU PHYSICIANS TULSA
Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID 5395645329
Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members 89
Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address 1919 S WHEELING
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 600
Group Practice or individual's line 2 address
City TULSA
Group Practice or individual's city
State OK
Group Practice or individual's state
Zip Code 741045635
Group Practice or individual's zip code (9 digits when available)
Phone Number 9186347500
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Hospital Affiliation CCN 1 370001
Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1 HILLCREST MEDICAL CENTER
Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment Y

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