Organization Active NPI

Jack B. Howard MD LLC

  • Exclusive Provider Organization
  • Ada, OK
National Provider Identifier
1285825976
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
8314 Issued in OK
Legal business name
JACK B. HOWARD MD LLC
Practice address
1201 Arlington St Ste F
Ada, OK 74820-4072
Phone
(580) 436-2626
Fax
(580) 436-3244
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Jack B Howard, MD
Title
Owner
Phone
(580) 436-2626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 8314 OK Primary

Addresses

Primary practice location

1201 Arlington St Ste F
Ada, OK 74820-4072

Mailing address

1201 Arlington St Ste F
Ada, OK 74820-4072
Phone (580) 436-2626

National Provider Directory

National Provider Directory

Locations

1201 Arlington St
Ste F
Ada, OK 74820
Phone (580) 279-1788

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1285825976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ARLINGTON ST STE F",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204072",
            "telephone_number": "580-436-2626",
            "fax_number": "580-436-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ARLINGTON ST STE F",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204072",
            "telephone_number": "580-436-2626",
            "fax_number": "580-436-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK B. HOWARD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-436-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "OK",
            "license": "8314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.