Jessica Enix, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

28582 Issued in OK

Practice address

1601 Health Center Pkwy
Yukon, OK 73099-6652

Phone

(405) 265-2210

Fax

(405) 265-2256

NPI assigned

Jun 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

General Surgery

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Surgical Partners of OklahomaGroup PAC ID 6800015371, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
• Lakeside Women'S Hospital, a Member of Integris He Hospital, Oklahoma City, OK, CCN 370199

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenix387316@direct.integrisok.com

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.

• Surgical Partners of Oklahoma

  • Surgery Physician
  • Yukon, OK
  • NPI 1457763757
  Medicare reassignment Care Compare group NPD
• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Care Compare affiliation
• Lakeside Women'S Hospital, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1639170699
  Care Compare affiliation

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1336433366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996652",
            "telephone_number": "405-265-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HEALTH CENTER PKWY",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730996652",
            "telephone_number": "405-265-2210",
            "fax_number": "405-265-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENIX",
        "first_name": "JESSICA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "28582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Nicole Ellis, M.S. CCC-SLP
• Tiffany Elmore, R.N.
• Emily Tate LLC
• England Counseling LLC
• Daryl England, LCSW
• Jacquelyn Taylor Ermeling-Stockton, DPT
• Dorian Francisco Estebane, DC
• Marjorie Evilsizer, MS, CCC-SLP
• Eye Care Associates of Yukon
• Tammeria Sue Fade, BS EDUC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.