Organization Active NPI

Jay Gregory, M.D., Inc. P.C.

  • Surgery Physician
  • Muskogee, OK
National Provider Identifier
1346577343
Registry record updated Nov 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JAY GREGORY, M.D., INC. P.C.
Practice address
333 S 38TH St
Suite D
Muskogee, OK 74401-4937
Phone
(918) 687-5304
Fax
(918) 687-0178
NPI assigned
Nov 11, 2009
Last updated
Nov 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2009

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

Authorized official

Name
Dr. Jay Allen Gregory, M.D.NPI 1013051226
Title
President
Phone
(918) 687-5304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OK Primary

Addresses

Primary practice location

333 S 38TH St
Suite D
Muskogee, OK 74401-4937

Mailing address

333 S 38TH St
Suite D
Muskogee, OK 74401-4937
Phone (918) 687-5304

Other identifiers 2

IdentifierTypeStateIssuer
100105610AMedicaidOK
443481212001OtherOKBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

333 S 38th St
Ste D
Muskogee, OK 74401
Phone (918) 687-5304

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1346577343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S 38TH ST",
            "address_2": "SUITE D",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014937",
            "telephone_number": "918-687-5304",
            "fax_number": "918-687-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S 38TH ST",
            "address_2": "SUITE D",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014937",
            "telephone_number": "918-687-5304",
            "fax_number": "918-687-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAY GREGORY, M.D., INC. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-687-5304",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100105610A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "443481212001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.