Active NPI
Carla J Jones, DO
- Anesthesiology Physician
- Okmulgee, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 3405
- Practice address
- 1313 E 20TH St
Okmulgee, OK 74447-6303 - Phone
- (918) 591-5700
- Fax
- (918) 756-4490
- NPI assigned
- Jun 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 3405 | OK | Primary |
| Family Medicine Physician | 207Q00000X | 3405 | OK |
Addresses
Primary practice location
1313 E 20TH St
Okmulgee, OK 74447-6303
Mailing address
Dept 1467
MCN Primary Clinics
Tulsa, OK 74182-0001
Phone (918) 591-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100136620A | Medicaid | OK | |
| 900522349 | Other | OK | MEDICARE GROUP PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Lawton Indian Hospital | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Family Medicine | Current | Accepting new patients |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Southcrest Anesthesia Group LLC | Anesthesiology | Past | Accepting new patients |
| Ahs Oklahoma Physician Group LLC | Family Medicine | Past | Accepting new patients |
Locations
1515 NE Lawrie Tatum Rd
Lawton, OK 73507
Phone (580) 353-0350
309 N 14th St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1313 E 20th St
Okmulgee, OK 74447
Phone (918) 591-5700
1125 E Cleveland Ave
Sapulpa, OK 74066
Phone (918) 224-9310
Dept 1467
Tulsa, OK 74182
Interoperability endpoints
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
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.
-
- Clinic/Center
- Okmulgee, OK
- NPI 1326446188
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
-
- Anesthesiology Physician
- Tulsa, OK
- NPI 1205880754
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430092800000",
"number": "1487691234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT 1467",
"address_2": "MCN PRIMARY CLINICS",
"city": "TULSA",
"state": "OK",
"postal_code": "741820001",
"telephone_number": "918-591-5700",
"fax_number": "918-756-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1313 E 20TH ST",
"city": "OKMULGEE",
"state": "OK",
"postal_code": "744476303",
"telephone_number": "918-591-5700",
"fax_number": "918-756-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CARLA",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-01",
"last_updated": "2015-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "3405",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "3405",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100136620A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "900522349",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Okmulgee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.