Dr. Jerry a. Nelms D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1403 Issued in OK

Legal business name

DR. JERRY A. NELMS D.O.

Practice address

607 S Broadway
Coweta, OK 74429-5000

Phone

(918) 486-5564

Fax

(918) 486-3284

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelby Coine

Title

Practice Manager

Phone

(918) 486-5564

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1093994352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 S BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744295000",
            "telephone_number": "918-486-5564",
            "fax_number": "918-486-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 S BROADWAY",
            "city": "COWETA",
            "state": "OK",
            "postal_code": "744295000",
            "telephone_number": "918-486-5564",
            "fax_number": "918-486-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JERRY A. NELMS D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "COINE",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "918-486-5564"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "1403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Coweta, OK
• Providers in Coweta, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.