Individual provider Active NPI

Jeffrey Eugene Chasteen, DO

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1427081520
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3842 Issued in OK
Practice address
7912 E 31St CT
Suite 220
Tulsa, OK 74145
Phone
(918) 743-8200
NPI assigned
Jul 9, 2006
Last updated
Jun 5, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 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 3842 OK Primary

Addresses

Primary practice location

7912 E 31St CT
Suite 220
Tulsa, OK 74145

Mailing address

7912 E 31St CT
Suite 220
Tulsa, OK 74145-1315
Phone (918) 743-8200

Other identifiers 1

IdentifierTypeStateIssuer
100138380BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 9, 2025 through Jan 9, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3842OKMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Oklahoma Physician Network Inc Family Medicine Past Accepting new patients
Northeast Oklahoma Physician Network Inc Past Accepting new patients
PHP Ok PC Family Medicine PastSince Feb 19, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIHBDD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1427081520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7912 E 31ST CT",
            "address_2": "SUITE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741451315",
            "telephone_number": "918-743-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7912 E 31ST CT",
            "address_2": "SUITE 220",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74145",
            "telephone_number": "918-743-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASTEEN",
        "first_name": "JEFFREY",
        "middle_name": "EUGENE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "3842",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138380B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.