Individual provider Active NPI

Jeffrey Leon Halford, DO

  • Physical Medicine & Rehabilitation Physician
  • Tulsa, OK
National Provider Identifier
1265454722
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3924 Issued in OK
Practice address
6161 S Yale Ave
Tulsa, OK 74136-1902
Phone
(918) 494-4250
Fax
(918) 856-3736
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 3924 OK Primary

Addresses

Primary practice location

6161 S Yale Ave
Tulsa, OK 74136-1902

Mailing address

5421 E 120TH St
Tulsa, OK 74137-8804
Phone (918) 779-3963

Other identifiers 1

IdentifierTypeStateIssuer
100126340DMedicaidOK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000250 OK Practitioner - Physical Medicine and Rehabilitation 1355327909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Oklahoma State University College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pmo Medical PLLCGroup PAC ID 1153603832, 11 clinicians

Practice addresses (Care Compare)

401 E Broadway CT
Suite a Pain Management of Oklahoma
Sand Springs, OK 74063-7931
Phone (918) 794-6008

Merit-based Incentive Payment System (MIPS)

Final score
77.19 of 100Reported as group
Quality
47.27
Improvement activities
40
Cost
63.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7280OKMDEmergency Medicine Physician
3924OKMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pmo Medical PLLC CurrentSince Oct 8, 2016 Accepting new patients
Pmo Medical PLLC CurrentSince Sep 18, 2015 Accepting new patients
Allied Mental Health Associates, Inc. Past Accepting new patients
Broken Arrow Rehabilitation Specialists Past Accepting new patients

Locations

1751 N Aspen Ave
Broken Arrow, OK 74012
Phone (561) 420-4453

1201 E Wade Watts Ave
McAlester, OK 74501

555 W Ruth Ave
Sallisaw, OK 74955
Phone (918) 774-0147

401 E Broadway Ct
Ste A
Sand Springs, OK 74063
Phone (918) 246-3456

Interoperability endpoints

  • Direct secure messaging: drjh@direct.meditouchehr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397433600000",
    "number": "1265454722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 E 120TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741378804",
            "telephone_number": "918-779-3963",
            "fax_number": "918-856-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 S YALE AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361902",
            "telephone_number": "918-494-4250",
            "fax_number": "918-856-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALFORD",
        "first_name": "JEFFREY",
        "middle_name": "LEON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2014-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "3924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100126340D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.