Individual provider Active NPI

Jeffrey Hillhouse, PA-C

  • Physician Assistant
  • Broken Arrow, OK
National Provider Identifier
1215400767
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3022 Issued in OK
Practice address
2950 S Elm PL Ste 120
Broken Arrow, OK 74012-7816
Phone
(918) 451-5191
Fax
(918) 451-5272
NPI assigned
Jan 8, 2019
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3022 OK Primary

Addresses

Primary practice location

2950 S Elm PL Ste 120
Broken Arrow, OK 74012-7816

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Other practice location 1

10506 S Memorial Dr
Tulsa, OK 74133-6914
Phone (918) 943-1050

Other practice location 2

7858 S Olympia Ave
Tulsa, OK 74132-1857
Phone (918) 986-9250

Other practice location 3

1801 E Kenosha St
Broken Arrow, OK 74012-2098
Phone (918) 449-4150

Other practice location 4

102 S Main St
Sand Springs, OK 74063-6509
Phone (918) 246-5750

Other practice location 5

6160 S Yale Ave
Tulsa, OK 74136-1930
Phone (918) 495-2600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190307000285 OK Practitioner - Physician Assistant 8022357177 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3022OKMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Hospital, Inc. PastSince Nov 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jhillhouse86141@direct.saintfrancis.com

Organizations & group practices 2

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 1

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": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1215400767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 S ELM PL STE 120",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127816",
            "telephone_number": "918-451-5191",
            "fax_number": "918-451-5272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10506 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741336914",
            "country_code": "US",
            "telephone_number": "918-943-1050",
            "fax_number": "918-369-3209",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7858 S Olympia Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741321857",
            "country_code": "US",
            "telephone_number": "918-986-9250",
            "fax_number": "918-986-9205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1801 E Kenosha St",
            "address_purpose": "LOCATION",
            "city": "Broken Arrow",
            "state": "OK",
            "postal_code": "740122098",
            "country_code": "US",
            "telephone_number": "918-449-4150",
            "fax_number": "918-449-4107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sand Springs",
            "state": "OK",
            "postal_code": "740636509",
            "country_code": "US",
            "telephone_number": "918-246-5750",
            "fax_number": "918-246-5714",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6160 S Yale Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361930",
            "country_code": "US",
            "telephone_number": "918-495-2600",
            "fax_number": "918-497-3007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILLHOUSE",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-08",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "3022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

Verify at the official NPI Registry.