Active NPI
Harvey Clarke Jenkins Jr., M.D.
- Orthopaedic Surgery Physician
- Oklahoma City, OK
National Provider Identifier
1124060199
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jan 18, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 21473
- Practice address
- 8603 S Western Ave
Oklahoma City, OK 73139-9200 - Phone
- (405) 686-1700
- Fax
- (405) 686-1555
- NPI assigned
- Jun 12, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 21473 | OK | Primary |
Addresses
Primary practice location
8603 S Western Ave
Oklahoma City, OK 73139-9200
Mailing address
8603 S Western Ave
Oklahoma City, OK 73139-9200
Phone (405) 686-1700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 37D1102406 | Other | OK | CLIA WAIVED LABORATORY ID |
| 100034590A | Medicaid | OK | |
| 175793900 | Other | OK | DEPARTMENT OF LABOR |
| 731620950 | Other | OK | TAX ID # |
| 200043654 | Other | OK | RAILROAD MEDICARE |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey C Jenkins PH D M D PLLC | Current | Accepting new patients | |
| Southwest Orthopaedic Specialists, P.L.L.C. | Orthopaedic Surgery | Past | Accepting new patients |
Locations
8603 S Western Ave
Oklahoma City, OK 73139
Phone (405) 686-1700
Organizations & group practices 2
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.
-
- Specialist
- Oklahoma City, OK
- NPI 1245411727
-
- Orthopaedic Surgery Physician
- Oklahoma City, OK
- NPI 1669559720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1124060199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8603 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399200",
"telephone_number": "405-686-1700",
"fax_number": "405-686-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8603 S WESTERN AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399200",
"telephone_number": "405-686-1700",
"fax_number": "405-686-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "HARVEY",
"middle_name": "CLARKE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OK",
"license": "21473",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA WAIVED LABORATORY ID",
"identifier": "37D1102406",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100034590A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPARTMENT OF LABOR",
"identifier": "175793900",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "731620950",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "200043654",
"state": "OK"
}
],
"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 Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.