Individual provider Active NPI

Jason Christopher Onarecker, MD

  • Pediatrics Physician
  • Edmond, OK
National Provider Identifier
1477080646
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
33016 Issued in OK
Practice address
2749 Progressive Dr
Edmond, OK 73034-7303
Phone
(405) 772-4130
Fax
(405) 772-4135
NPI assigned
May 17, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 33016 OK Primary

Addresses

Primary practice location

2749 Progressive Dr
Edmond, OK 73034-7303

Mailing address

2749 Progressive Dr
Edmond, OK 73034
Phone (405) 772-4130

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
I20200901000326 OK Practitioner - Pediatric Medicine 6103243530 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33016OKMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saints Medical Group, LLC CurrentSince Aug 1, 2020 Accepting new patients
Saints Medical Group, LLC Pediatrics CurrentSince Aug 1, 2020 Accepting new patients
Mercy Hospital Oklahoma City, Inc Past Accepting new patients
Northwest Pediatrics of Okc, Inc. Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

4140 W Memorial Rd
Ste 413
Oklahoma City, OK 73120
Phone (405) 751-1077

608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737

608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000

777 NW 63rd St
Fl 4
Oklahoma City, OK 73116
Phone (405) 231-3818

Interoperability endpoints

  • Direct secure messaging: jonarecker353165@direct-ehr-ssmhc.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1477080646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 PROGRESSIVE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "73034",
            "telephone_number": "405-772-4130",
            "fax_number": "405-772-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2749 PROGRESSIVE DR",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347303",
            "telephone_number": "405-772-4130",
            "fax_number": "405-772-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONARECKER",
        "first_name": "JASON",
        "middle_name": "CHRISTOPHER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-17",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OK",
            "license": "33016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.