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NPI Code Detail

MEDICARE: IES ER OKLAHOMA LLC

MEDICARE: IES ER OKLAHOMA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician

General Provider Information

NPI Number : 1447148093
Entity Type Code : Organization
Provider Name (Legal Business Name) : IES ER OKLAHOMA LLC
Provider Business Mailing Address
First Line : PO BOX 1985
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-1985
Country : US
Telephone Number : 469-420-5527
Fax Number :
Provider Business Practice Location Address
First Line : 6161 S YALE AVE
Second Line :
City : TULSA
State : OK
Zip : 74136-1902
Country : US
Telephone Number : 918-494-2200
Fax Number :
Authorized Official
Title or Position : AO
Name : NESTOR ZENAROSA
Credential : MD
Telephone Number : 469-420-5544
Provider Enumeration Date : 06/24/2025
Last Update Date : 12/12/2025

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Directions to “IES ER OKLAHOMA LLC ” Practice Location

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