Dr TIMOTHY BUSHYHEAD is a male medical professional, specializing in Family Medicine. He graduated in 2015 from Ohio State University College Of Medicine.
OMNI MEDICAL GROUP INC
1923 S UTICA AVE
TULSA
OK
741046520
Tel: 9187442967
| Npi | 1154718807 |
| Pac Id | 8123379419 |
| Professional Enrollment Id | I20180926000547 |
| Last Name | BUSHYHEAD |
| First Name | TIMOTHY |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 2015 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | OMNI MEDICAL GROUP INC |
| Group Practice Pac Id | 9739080490 |
| Number Of Group Practice Members | 95 |
| Line 1 Street Address | 1923 S UTICA AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TULSA |
| State | OK |
| Zip Code | 741046520 |
| Phone Number | 9187442967 |
| Hospital Affiliation Ccn 1 | 370227 |
| Hospital Affiliation Lbn 1 | ST JOHN OWASSO |
| Hospital Affiliation Ccn 2 | 370018 |
| Hospital Affiliation Lbn 2 | JANE PHILLIPS MEMORIAL MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 3 | 370114 |
| Hospital Affiliation Lbn 3 | ST JOHN MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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