Jason Tyler Stansill, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

22433 Issued in OK

Practice address

3960 S Hudson Ave
Tulsa, OK 74135-5608

Phone

(918) 984-9378

Fax

(918) 984-9379

NPI assigned

Jun 11, 2006

Last updated

May 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brookhaven Hospital, LLC

  • Psychiatric Hospital
  • Tulsa, OK
  • NPI 1023064300
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464652800000",
    "number": "1083656417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 S HUDSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355608",
            "telephone_number": "918-984-9378",
            "fax_number": "918-984-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 S HUDSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355608",
            "telephone_number": "918-984-9378",
            "fax_number": "918-984-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANSILL",
        "first_name": "JASON",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2016-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "7046A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "22433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200118170A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shaunda Stanley, RN
• Terra Jo Stansell, L.P.C.
• Kelli Stansifer
• Sheryl L Stansifer, ARNP
• Apryl Howard Stansill, M.S.
• Jason Lael Stanton
• Paul D Stanton, M.D.
• Shyla Myran Stanton, M.S, CCC-SLP
• Joel Allen Stanturf, APRN
• Cassandra Dawn Stanzak, RD/LD

• Internal Medicine Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.