Active NPI
Jeremy Lee Jones, D.O.
- Pediatrics Physician
- Tulsa, OK
National Provider Identifier
1124257852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4775
- Practice address
- 717 S Houston Ave FL 4
Tulsa, OK 74127-9023 - Phone
- (918) 382-4600
- Fax
- (918) 382-3183
- NPI assigned
- Jul 2, 2009
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4775 | OK | Primary |
Addresses
Primary practice location
717 S Houston Ave FL 4
Tulsa, OK 74127-9023
Mailing address
717 S Houston Ave FL 4
Tulsa, OK 74127-9023
Phone (918) 382-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200262140B | Medicaid | OK |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4775 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550102400000",
"number": "1124257852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE FL 4",
"city": "TULSA",
"state": "OK",
"postal_code": "741279023",
"telephone_number": "918-382-4600",
"fax_number": "918-382-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE FL 4",
"city": "TULSA",
"state": "OK",
"postal_code": "741279023",
"telephone_number": "918-382-4600",
"fax_number": "918-382-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JEREMY",
"middle_name": "LEE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2019-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "4775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200262140B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}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 Feb 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.