Kelley Jean Joy, D.O.

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

3926 Issued in OK

Practice address

109 N Fairland St
Ste 105
Pryor, OK 74361-4203

Phone

(918) 825-9900

Fax

(918) 825-4341

NPI assigned

Jul 18, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Joy Family Medicine

  • Family Medicine Physician
  • Pryor, OK
  • NPI 1831382472
  NPD (past) Authorized official
• Mayes County Hma, LLC

  • General Acute Care Hospital
  • Pryor, OK
  • NPI 1588686679
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1225057581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HILLVIEW DR",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648045229",
            "telephone_number": "918-825-9900",
            "fax_number": "918-825-4341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N FAIRLAND ST",
            "address_2": "STE 105",
            "city": "PRYOR",
            "state": "OK",
            "postal_code": "743614203",
            "telephone_number": "918-825-9900",
            "fax_number": "918-825-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOY",
        "first_name": "KELLEY",
        "middle_name": "JEAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "115577",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MO",
            "license": "115577",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3926",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OK",
            "license": "3926",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID #",
            "identifier": "030474832",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100195450B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Nicole Jones
• Lillian Pearl Jones
• Patricia Lindsy Jones
• Whitney Leann Jones, M.S. CCC-SLP
• Joy Family Medicine
• K&C Hospice Inc
• Yoonhee Nikki Kang
• Richard Kantor, BHCM II
• Allison Leigh Kelley
• Allison Marie Kennell

• Neuromusculoskeletal Medicine & OMM Physician in Pryor, OK
• Providers in Pryor, OK by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.