NPIMap

Individual provider Active NPI

Stephanie Patricia Jones, DO

  • Family Medicine Physician
  • Tishomingo, OK
National Provider Identifier
1366069841
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0366R Issued in OK
Practice address
610 E 24TH St
Tishomingo, OK 73460-3245
Phone
(580) 371-2343
Fax
(580) 371-3614
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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 0366R OK Primary

Addresses

Primary practice location

610 E 24TH St
Tishomingo, OK 73460-3245

Mailing address

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 371-2343

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220107001574 OK Practitioner - Family Practice 0244647709 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0366ROKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center of Southern Oklahoma Inc CurrentSince Jul 10, 2023 Accepting new patients
Oklahoma Emergency Physician Partners PLLC Current Accepting new patients
Family Health Center of Southern Oklahoma Inc CurrentSince Jul 10, 2023 Accepting new patients
Nes Oklahoma, Inc. CurrentSince Oct 31, 2022 Accepting new patients
Family Health Center of Southern Oklahoma Inc Past Accepting new patients
Family Health Center of Southern Oklahoma Inc Past Accepting new patients
Family Health Center of Southern Oklahoma Inc Past Accepting new patients

Locations

107 E Post Ave
Coalgate, OK 74538
Phone (580) 927-2828

1800 W University Blvd
Durant, OK 74701
Phone (580) 924-3080

901 S 5th Ave
Madill, OK 73446
Phone (580) 564-7338

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

610 E 24th St
Tishomingo, OK 73460
Phone (580) 371-2343

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73380
  • Direct secure messaging: stephanie.jones@fhcso.directbygreenway.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Health Center of Southern Oklahoma Inc 34 clinicians

Practice addresses (Care Compare)

610 E 24TH St
Tishomingo, OK 73460-3245
Phone (580) 387-0509

Hospital & facility affiliations

  • Victory Home Health, LLC Home health agency, Tishomingo, OK, CCN 377574
  • Complete Home Health of Tishomingo LLC Home health agency, Tishomingo, OK, CCN 377704
  • Centric Home Health Home health agency, Durant, OK, CCN 377791
  • A Path of Care Tendercare Home Health Home health agency, Coalgate, OK, CCN 377202
  • Victory Home Health and Hospice Hospice, Tishomingo, OK, CCN 371563
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047
  • Alliancehealth Durant Hospital, Durant, OK, CCN 370014
  • Mercy Hospital Tishomingo Inc Hospital, Tishomingo, OK, CCN 371304

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1366069841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-371-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603245",
            "telephone_number": "580-371-2343",
            "fax_number": "580-371-3614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEPHANIE",
        "middle_name": "PATRICIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "0366R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tishomingo, OK

Sources for this page

Verify at the official NPI Registry.