Individual provider Active NPI

Jimmy Jeffcoats, RDCS

  • Cardiovascular Specialist/Technologist
  • Ardmore, OK
National Provider Identifier
1265986673
Registry record updated Aug 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Specialist/TechnologistTaxonomy code 246X00000X
License
32685 Issued in MD
Practice address
1401 8TH Ave NW
Ardmore, OK 73401-2428
Phone
(580) 504-2430
NPI assigned
Aug 15, 2016
Last updated
Aug 15, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Specialist/Technologist 246X00000X 32685 MD Primary
Sonography Radiologic Technologist 2471S1302X OK
Vascular Sonography Radiologic Technologist 2471V0105X OK

Addresses

Primary practice location

1401 8TH Ave NW
Ardmore, OK 73401-2428

Mailing address

PO Box 1702
Ardmore, OK 73402-1702
Phone (580) 504-2430

Other identifiers 1

IdentifierTypeStateIssuer
20041980AMedicaidOK

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
32685MDMDCardiovascular Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Focus CV Ultrasound Services Sonography Past Accepting new patients

Organizations & group practices 1

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": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471219200000",
    "number": "1265986673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1702",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734021702",
            "telephone_number": "580-504-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 8TH AVE NW",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012428",
            "telephone_number": "580-504-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFCOATS",
        "first_name": "JIMMY",
        "credential": "RDCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2016-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246X00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist Cardiovascular",
            "state": "MD",
            "license": "32685",
            "primary": true
        },
        {
            "code": "2471S1302X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Sonography",
            "state": "OK",
            "license": null,
            "primary": false
        },
        {
            "code": "2471V0105X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Vascular Sonography",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20041980A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2016; 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.