Individual provider Active NPI

Jeffrey R Jones, DO

  • Family Medicine Physician
  • Enid, OK
National Provider Identifier
1295735355
Registry record updated Feb 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2461 Issued in OK
Practice address
2821 N Van Buren St Ste B
Enid, OK 73703-1729
Phone
(580) 213-9012
Fax
(580) 213-9795
NPI assigned
Jul 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2018

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 2461 OK Primary

Addresses

Primary practice location

2821 N Van Buren St Ste B
Enid, OK 73703-1729

Mailing address

5300 N Independence Ave
Oklahoma City, OK 73112-5556
Phone (580) 213-9012

Other practice location 1

2821 N Van Buren St Ste B
Enid, OK 73703-1729
Phone (580) 213-9012

Other identifiers 2

IdentifierTypeStateIssuer
100176940AMedicaidOK
P00069156OtherOKRAILROAD

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
I20040501000462 OK Practitioner - Family PracticePractitioner - General Practice 6800884602 Reassigns benefits to 1 organization
Practice locations: Enid, OK

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians

Practice addresses (Care Compare)

1805 W Garriott Rd
Integris Urgent Care Plus
Enid, OK 73703-5526
Phone (580) 977-1904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2461OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integris Bass Baptist Health Center Family Medicine Current Accepting new patients
Integris Ambulatory Care Corporation Family Medicine CurrentSince Oct 1, 2013 Accepting new patients
Integris Rural Health, Inc. Family Medicine Past Accepting new patients
Integris Rural Health Inc Family Medicine Past Accepting new patients
Urgent Care Associates PLLC Past Accepting new patients

Locations

1805 W Owen K Garriott Rd
Enid, OK 73703
Phone (580) 233-9012

2821 N Van Buren St
Ste B
Enid, OK 73703
Phone (580) 213-9794

410 N 30th St
Enid, OK 73701
Phone (580) 237-1973

502 W Pine Ave
Enid, OK 73701
Phone (580) 233-2722

301 S Oakwood Rd
Enid, OK 73703
Phone (580) 237-6164

915 E Owen K Garriott Rd
Ste H
Enid, OK 73701
Phone (405) 242-1454

402 S Oakwood Rd
Ste B
Enid, OK 73703
Phone (580) 234-1831

1409 N 17th St
Enid, OK 73701
Phone (580) 234-1411

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

158 E Sunset Dr
Ste B
Medford, OK 73759
Phone (580) 395-2319

620 S Madison St
Ste 209
North Enid, OK 73701
Phone (580) 233-5553

5300 N Independence Ave
Oklahoma City, OK 73112
Phone (405) 945-4500

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

Interoperability endpoints

  • Direct secure messaging: jjones8654@direct.integrisok.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1295735355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "580-213-9012",
            "fax_number": "580-213-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 N VAN BUREN ST STE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737031729",
            "telephone_number": "580-213-9012",
            "fax_number": "580-213-9795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2821 N Van Buren St Ste B",
            "address_purpose": "LOCATION",
            "city": "Enid",
            "state": "OK",
            "postal_code": "737031729",
            "country_code": "US",
            "telephone_number": "580-213-9012",
            "fax_number": "580-213-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JEFFREY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "2461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100176940A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00069156",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.