Individual provider Active NPI

Jim B Harjo, D.O.

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1194746776
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4040 Issued in OK
Practice address
2235 E 61St St Ste B
Tulsa, OK 74136-0102
Phone
(539) 476-9802
Fax
(539) 476-9804
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4040 OK Primary

Addresses

Primary practice location

2235 E 61St St Ste B
Tulsa, OK 74136-0102

Mailing address

102 Woodmont Blvd Ste 600
Nashville, TN 37205-5250

Other practice location 1

4415 S Harvard Ave
Tulsa, OK 74135-2620
Phone (539) 202-1585

Other identifiers 1

IdentifierTypeStateIssuer
200007770AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, TX2 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
I20041028000949 OK Practitioner - Family PracticePractitioner - Pain Management 1850353210 Reassigns benefits to 1 organization
I20161217000182 TX Practitioner - Family Practice 1850353210 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Archwell Health Professional Services of Oklahoma, LLC CurrentSince Feb 1, 2025 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Nov 1, 2016 Accepting new patients
Choctaw Nation of Oklahoma CurrentSince Nov 1, 2016 Accepting new patients
Ahs Oklahoma Physician Group LLC Family Medicine Past Accepting new patients
Jane Phillips Nowata Hospital Inc Past Accepting new patients

Locations

1 Choctaw Way
Talihina, OK 74571
Phone (918) 423-8440

205 Dallas St
Talihina, OK 74571
Phone (918) 567-3636

3138 S Garnett Rd
Tulsa, OK 74146
Phone (918) 203-7005

2235 E 61st St
Ste B
Tulsa, OK 74136
Phone (539) 476-9802

102 Woodmont Blvd
Ste 600
Nashville, TN 37205

Interoperability endpoints

  • Direct secure messaging: jim.harjo@214522098548740.direct.elationemr.com
  • FHIR API: https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1194746776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 600",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 E 61ST ST STE B",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741360102",
            "telephone_number": "539-476-9802",
            "fax_number": "539-476-9804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 S Harvard Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741352620",
            "country_code": "US",
            "telephone_number": "539-202-1585",
            "fax_number": "539-202-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARJO",
        "first_name": "JIM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200007770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.