Organization Active NPI

Jeff Alexander, MD, PC

  • Specialist
  • Tulsa, OK
National Provider Identifier
1104852557
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
11911 Issued in OK
Legal business name
JEFF ALEXANDER, MD, PC
Doing business as
Jeff Alexander, MD, PC
Practice address
6565 S Yale Ave
Ste 503
Tulsa, OK 74136-8378
Phone
(918) 494-8333
Fax
(918) 494-8334
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Authorized official

Name
Jeff Alexander, MDNPI 1518964097
Title
Physician
Phone
(918) 494-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 11911 OK Primary

Addresses

Primary practice location

6565 S Yale Ave
Ste 503
Tulsa, OK 74136-8378

Mailing address

6565 S Yale Ave
Ste 503
Tulsa, OK 74136-8378
Phone (918) 494-8333

Other names 1

  • JEFF ALEXANDER, MD, PC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060629000042 OK Part B Supplier - Clinic/Group Practice 9133131576 Receives reassigned benefits from 5 practitioners
Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0474519Jeff Alexander, MD PC6565 S Yale, Suite 503, Tulsa, OK 74136Provider-performed microscopyMar 22, 2028

National Provider Directory

National Provider Directory

Locations

6565 S Yale Ave
Ste 503
Tulsa, OK 74136
Phone (918) 492-4787

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1104852557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "STE 503",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368378",
            "telephone_number": "918-494-8333",
            "fax_number": "918-494-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE",
            "address_2": "STE 503",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368378",
            "telephone_number": "918-494-8333",
            "fax_number": "918-494-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF ALEXANDER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "918-494-8333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "11911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JEFF ALEXANDER, MD, PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.