Jett Surgical Practice PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

10480 Issued in OK

Legal business name

JETT SURGICAL PRACTICE PC

Practice address

3330 NW 56TH St
Ste 616
Oklahoma City, OK 73112-4479

Phone

(405) 605-6880

Fax

(405) 605-6881

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Mason Peck Jett, MDNPI 1295701993

Title

President

Phone

(405) 605-6880

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mason P Jett, MD

  • Surgery Physician
  • Oklahoma City, OK
  • NPI 1295701993
  NPD (past) Authorized official

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1306111398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "STE 616",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-605-6880",
            "fax_number": "405-605-6881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST",
            "address_2": "STE 616",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124479",
            "telephone_number": "405-605-6880",
            "fax_number": "405-605-6881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETT SURGICAL PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "JETT",
        "authorized_official_first_name": "MASON",
        "authorized_official_middle_name": "PECK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-605-6880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OK",
            "license": "10480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Jester
• Jamie Claire Jester
• Matthew Rawlins Jester, MD
• Taylor Jester
• Kathryn Jeter Welch, PHD
• Elizabeth A Jett, MD
• Mason P Jett, MD
• April Jewell, APRN
• Coty Wayne Jewell, MD
• Peggy Louise Jewell, M.D.

• Surgery Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Surgery Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; 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.