Jason Lauderdale, DO

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

BP10089921 Issued in TX

Practice address

908 Chartrand CT
Edmond, OK 73034-5538

Phone

(405) 408-2780

Fax

(405) 408-2780

NPI assigned

Jun 1, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1144896051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 CHARTRAND CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345538",
            "telephone_number": "405-408-2780",
            "fax_number": "405-408-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 CHARTRAND CT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345538",
            "telephone_number": "405-408-2780",
            "fax_number": "405-408-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDERDALE",
        "first_name": "JASON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-01",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "TX",
            "license": "BP10089921",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer A Lashley, LPC
• Lashonda Mobley Waiters, LPC (Against All Odds Youth and Family Services)
• Jazzmine Lastrapes
• Rebecca Lynn Latorre, HEALTH COACH
• Kaytee Nicole Latzke, AUD
• Lana Lauer
• Laura a Piatt LLC
• Tawana Laurent
• Laurie Skow, Licensed Professional Counselor, PLLC
• Lawrence Vasquez Mercy Medical Care

• Infectious Disease Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Infectious Disease Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.