Active NPI
Phillip Wayne Jones, D.O.
- Family Medicine Physician
- Oklahoma City, OK
National Provider Identifier
1063462380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3899
- Practice address
- 2149 SW 59TH St
Suite No. 203
Oklahoma City, OK 73119-7033 - Phone
- (405) 445-3025
- Fax
- (405) 445-3807
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3899 | OK | Primary |
Addresses
Primary practice location
2149 SW 59TH St
Suite No. 203
Oklahoma City, OK 73119-7033
Mailing address
2149 SW 59TH St
Suite No. 203
Oklahoma City, OK 73119-7033
Phone (405) 445-3025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seminole Health Center LLC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/849/brand/1/csg/1/fhir/r4
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medicare Defined Swing Bed Hospital Unit
- Seminole, OK
- NPI 1144278920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1063462380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2149 SW 59TH ST",
"address_2": "SUITE NO. 203",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731197033",
"telephone_number": "405-445-3025",
"fax_number": "405-445-3807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2149 SW 59TH ST",
"address_2": "SUITE NO. 203",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731197033",
"telephone_number": "405-445-3025",
"fax_number": "405-445-3807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "PHILLIP",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3899",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.