Oklahoma State Deptartment of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

License

4013 Issued in OK

Legal business name

OKLAHOMA STATE DEPTARTMENT OF HEALTH

Practice address

804 N. 7TH St
Perry, OK 73077

Phone

(580) 216-4321

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Jordan Lea Bolay, M.S.,CCC-SLPNPI 1962941492

Title

Speech Pathologist

Phone

(580) 216-4321

Specialties & licenses 1

Addresses

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.

• Jordan L Bolay, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Perry, OK
  • NPI 1962941492
  NPD (past) Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1477009090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 N 7TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "730774230",
            "telephone_number": "580-216-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N. 7TH ST",
            "city": "PERRY",
            "state": "OK",
            "postal_code": "73077",
            "telephone_number": "580-216-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKLAHOMA STATE DEPTARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "BOLAY",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "580-216-4321",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S.,CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OK",
            "license": "4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Morris
• Diana Lynn Moss
• Geneva Renea Mullins
• Bobi Jo Nelson
• Jessica Ojala
• Perry Dental Group (Comfort Dental)
• Perry Family Dental
• Perry Family Practice
• Perry Green Valley Nursing Home Inc
• Perry Green Valley Nursing Home LLC

• Public Health or Welfare Agency in Perry, OK
• Providers in Perry, OK by specialty
• Public Health or Welfare Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; 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.