Organization Active NPI

Jeffrey S Halsell DO PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tulsa, OK
National Provider Identifier
1326148123
Registry record updated Dec 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
3729 Issued in OK
Legal business name
JEFFREY S HALSELL DO PLLC
Practice address
9308 S Toledo Ave
Tulsa, OK 74137-2739
Phone
(918) 728-8020
Fax
(918) 728-8019
NPI assigned
Sep 22, 2006
Last updated
Dec 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2021

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

Authorized official

Name
Jeffrey S Halsell, DO
Title
DO
Phone
(918) 728-8020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 3729 OK Primary

Addresses

Primary practice location

9308 S Toledo Ave
Tulsa, OK 74137-2739

Mailing address

9308 S Toledo Ave
Tulsa, OK 74137-2739
Phone (918) 615-6581

Other identifiers 1

IdentifierTypeStateIssuer
100103150DMedicaidOK

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1326148123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372739",
            "telephone_number": "918-615-6581",
            "fax_number": "918-893-1242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 S TOLEDO AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372739",
            "telephone_number": "918-728-8020",
            "fax_number": "918-728-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S HALSELL DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "HALSELL",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "918-728-8020",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OK",
            "license": "3729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103150D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.