Active NPI
James Edward Meissen, D.O.
- Emergency Medicine Physician
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4665
- Practice address
- 2950 S Elm PL
Suite 120
Broken Arrow, OK 74012-7877 - Phone
- (918) 451-5191
- NPI assigned
- Jul 23, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4665 | OK | |
| Emergency Medicine Physician | 207P00000X | 4665 | OK | Primary |
Addresses
Primary practice location
2950 S Elm PL
Suite 120
Broken Arrow, OK 74012-7877
Mailing address
6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3347
Phone (918) 488-6001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4665 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central Emergency Services PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Oklahoma PC | Emergency Medicine | Current | Accepting new patients |
| Integris Grove Hospital | Past | Accepting new patients |
Locations
1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556
4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200
10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000
1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480
Interoperability endpoints
- jmeissen119800@ahs.direct-ci.com
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Norman, OK
- NPI 1215249891
-
- Emergency Medicine Physician
- Stillwater, OK
- NPI 1558663724
-
- General Acute Care Hospital
- Grove, OK
- NPI 1467473579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1194980888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6600 S YALE AVE",
"address_2": "SUITE 1400",
"city": "TULSA",
"state": "OK",
"postal_code": "741363347",
"telephone_number": "918-488-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 S ELM PL",
"address_2": "SUITE 120",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740127877",
"telephone_number": "918-451-5191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEISSEN",
"first_name": "JAMES",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-23",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "4665",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "4665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.