Individual provider Active NPI

Jeremy Ransdell, DO

  • Family Medicine Physician
  • Jenks, OK
National Provider Identifier
1346627395
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6042 Issued in OK
Practice address
220 S Elm St
Jenks, OK 74037-3701
Phone
(918) 403-7144
Fax
(918) 856-5561
NPI assigned
Apr 29, 2015
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 6042 OK Primary

Addresses

Primary practice location

220 S Elm St
Jenks, OK 74037-3701

Mailing address

220 S Elm St
Jenks, OK 74037-3701
Phone (918) 403-7144

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
I20160914001302 OK Practitioner - Family Practice 8820384076 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6042OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Aug 15, 2016 Accepting new patients
Omni Medical Group Inc Family Medicine CurrentSince Oct 22, 2018 Accepting new patients
Williams Medical Group Practice, LLC CurrentSince Aug 25, 2020 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Aug 15, 2016 Accepting new patients
Williams Medical Group Practice, LLC Family Medicine CurrentSince Aug 25, 2020 Accepting new patients
Summit Medical Center Past Accepting new patients
Coaxion PLLC Past Accepting new patients

Locations

220 S Van Buren St
Enid, OK 73703
Phone (580) 234-9355

2525 Chandler Rd
Muskogee, OK 74403
Phone (918) 232-0768

777 NW 63rd St
Fl 2
Oklahoma City, OK 73116

949 E Taft Ave
Sapulpa, OK 74066
Phone (918) 224-6079

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1346627395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 S ELM ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373701",
            "telephone_number": "918-403-7144",
            "fax_number": "918-856-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 S ELM ST",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373701",
            "telephone_number": "918-403-7144",
            "fax_number": "918-856-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANSDELL",
        "first_name": "JEREMY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-29",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

Verify at the official NPI Registry.