Active NPI
Stephen Jaskowiak, D.O.
- Emergency Medicine Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2436
- Practice address
- 1923 S Utica Ave
Tulsa, OK 74104-6520 - Phone
- (918) 744-3528
- Fax
- (918) 744-3529
- NPI assigned
- Jul 3, 2006
- Last updated
- Feb 25, 2025
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2024045789 | MO | |
| Emergency Medicine Physician | 207P00000X | 2436 | OK | Primary |
Addresses
Primary practice location
1923 S Utica Ave
Tulsa, OK 74104-6520
Mailing address
PO Box 505673
Saint Louis, MO 63150-5673
Other practice location 1
525 Branson Landing Blvd
Branson, MO 65616-2052
Phone (000) 000-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100013050A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.51 of 100
- Quality
- 84.87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2436 | OK | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Physicians of Tulsa County, LLC | Emergency Medicine | Current | Accepting new patients |
| St. John Physicians, Inc | Current | Accepting new patients | |
| St. John Physicians, Inc. | Emergency Medicine | Current | Accepting new patients |
| Skaggs Community Hospital Association | Emergency Medicine | Current | Accepting new patients |
| Skaggs Community Hospital Association | Current | Accepting new patients |
Locations
1000 W Boise Cir
Broken Arrow, OK 74012
Phone (918) 994-8000
10501 E 91st St
Tulsa, OK 74133
Phone (918) 307-6000
1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585
1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660
1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345
1923 S Utica Ave
Ste E
Tulsa, OK 74104
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Tulsa, OK
- NPI 1003098773
-
dba Cox Medical Center Branson
- Cardiovascular Disease Physician
- Branson, MO
- NPI 1346602646
Emergency Medicine
-
dba Siggins Memorial Clinic
- Rural Health Clinic/Center
- Barnsdall, OK
- NPI 1033176367
-
dba CoxHealth Family Medicine Branson
- Family Medicine Physician
- Branson, MO
- NPI 1356291298
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1235169632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 505673",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631505673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1923 S UTICA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741046520",
"telephone_number": "918-744-3528",
"fax_number": "918-744-3529"
}
],
"practiceLocations": [
{
"address_1": "525 Branson Landing Blvd",
"address_purpose": "LOCATION",
"city": "Branson",
"state": "MO",
"postal_code": "656162052",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JASKOWIAK",
"first_name": "STEPHEN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MO",
"license": "2024045789",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OK",
"license": "2436",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100013050A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.