Active NPI
Jay Daniel Fashimpaur, CNP
- Acute Care Nurse Practitioner
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 220114
- Practice address
- 5224 E I 240 Service Rd Ste 303
Oklahoma City, OK 73135-2607 - Phone
- (405) 608-3800
- NPI assigned
- Nov 27, 2024
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 220114 | OK | Primary |
Addresses
Primary practice location
5224 E I 240 Service Rd Ste 303
Oklahoma City, OK 73135-2607
Mailing address
7800 NW 85TH Ter
Oklahoma City, OK 73132-3385
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of South Alabama College of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5224 E I-240 Service Rd
303 Smob 303
Oklahoma City, OK 73135-2670
Phone (405) 628-6378
Hospital & facility affiliations
- Oklahoma Heart Hospital South, LLC
- Oklahoma Heart Hospital, LLC
- Chickasaw Nation Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohh Physicians, LLC | Current | Accepting new patients |
Locations
5224 E I 240 Service Rd
Ste 303
Oklahoma City, OK 73135
Phone (405) 628-6378
7800 NW 85th Ter
Oklahoma City, OK 73132
Phone (405) 972-7239
4050 W Memorial Rd
#3
Oklahoma City, OK 73120
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/I-7_h5bO8aC4DcrZl24eCXsg8gA1KGV3/
- https://epicrp.okheart.com/Oauth2Proxy/MYCHART/api/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.
-
- Cardiovascular Disease Physician
- Oklahoma City, OK
- NPI 1023087772
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ada, OK
- NPI 1255364923
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1841442274
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1083617005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1104642875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7800 NW 85TH TER",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731323385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5224 E I 240 SERVICE RD STE 303",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731352607",
"telephone_number": "405-608-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASHIMPAUR",
"first_name": "JAY",
"middle_name": "DANIEL",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-11-27",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OK",
"license": "220114",
"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 Nov 27, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.