Individual provider Active NPI

Jonathan Radkoff Ek, M.D.

  • Family Medicine Physician
  • Perry, OK
National Provider Identifier
1235240045
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23862 Issued in OK
Practice address
501 N 14TH St
Suite Dr. J. Ek
Perry, OK 73077-5021
Phone
(580) 336-3735
Fax
(580) 336-3738
NPI assigned
Aug 31, 2006
Last updated
Feb 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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 23862 OK Primary

Addresses

Primary practice location

501 N 14TH St
Suite Dr. J. Ek
Perry, OK 73077-5021

Mailing address

501 N 14TH St
Suite Dr. J. Ek
Perry, OK 73077-5021
Phone (580) 336-3735

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Perry Memorial Hospital Authority Past Accepting new patients
Perry Memorial Hospital Authority Family Medicine Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203552000000",
    "number": "1235240045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N 14TH ST",
            "address_2": "SUITE DR. J. EK",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775021",
            "telephone_number": "580-336-3735",
            "fax_number": "580-336-3738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N 14TH ST",
            "address_2": "SUITE DR. J. EK",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730775021",
            "telephone_number": "580-336-3735",
            "fax_number": "580-336-3738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EK",
        "first_name": "JONATHAN",
        "middle_name": "RADKOFF",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perry, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.