Individual provider Active NPI

Jazmin Matlock Baker, D.O.

  • Obstetrics Physician
  • Tulsa, OK
National Provider Identifier
1124312004
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
3150 Issued in OK
Practice address
717 S Houston Ave Ste 200
Tulsa, OK 74127-9005
Phone
(918) 294-3430
Fax
(918) 294-3910
NPI assigned
Jun 8, 2011
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics Physician 207VX0000X 3150 OK Primary

Addresses

Primary practice location

717 S Houston Ave Ste 200
Tulsa, OK 74127-9005

Mailing address

5310 E 31St St FL 13
Tulsa, OK 74135-5018
Phone (918) 561-5701

Other practice location 1

6126 E 61st St
Tulsa, OK 74136-0000
Phone (918) 294-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221216000875 OK Practitioner - Obstetrics/Gynecology 9537476601 Reassigns benefits to 1 organization
I20250730001886 WA Practitioner - Obstetrics/Gynecology 9537476601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Oklahoma State University College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

615 Lilly Rd NE
Suite 200
Olympia, WA 98506-5137
Phone (360) 413-8413

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.91 of 100Reported as group
Quality
77.78
Promoting interoperability
99
Improvement activities
40
Cost
73.95

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Washington CurrentSince Jul 14, 2025 Accepting new patients
Oklahoma State University CurrentSince Dec 6, 2022 Accepting new patients
Oklahoma State University CurrentSince Dec 6, 2022 Accepting new patients
Oklahoma State University Current Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Oklahoma State University Medical Trust Past Accepting new patients

Locations

042 Murray
Stillwater, OK 74078
Phone (405) 744-6021

5310 E 31st St
Ste 13
Tulsa, OK 74135
Phone (918) 561-5701

6126 E 61st St
Tulsa, OK 74136
Phone (918) 294-3430

717 S Houston Ave
Ste 200
Tulsa, OK 74127
Phone (918) 586-4500

Dept 2563
Tulsa, OK 74182

1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

615 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 413-8413

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1124312004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 E 31ST ST FL 13",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741355018",
            "telephone_number": "918-561-5701",
            "fax_number": "918-561-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S HOUSTON AVE STE 200",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279005",
            "telephone_number": "918-294-3430",
            "fax_number": "918-294-3910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6126 E 61st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741360000",
            "country_code": "US",
            "telephone_number": "918-294-3430",
            "fax_number": "918-294-3910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAKER",
        "first_name": "JAZMIN",
        "middle_name": "MATLOCK",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "OK",
            "license": "3150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.