NPIMap

Organization Active NPI

Jeanne E Heyser Easterly DO

  • Neuromusculoskeletal Medicine & OMM Physician
  • Tulsa, OK
National Provider Identifier
1497827372
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
2417 Issued in OK
Legal business name
JEANNE E HEYSER EASTERLY DO
Practice address
800 S Jackson Ave
Tulsa, OK 74127-9003
Phone
(918) 749-4668
Fax
(918) 749-4669
NPI assigned
Nov 15, 2006
Reactivated
Feb 22, 2010
Last updated
Feb 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Authorized official

Name
Mrs. Jeanne Elizabeth Heyser Easterly, DONPI 1023122660
Title
Owner
Phone
(918) 749-4668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X 2417 OK Primary

Addresses

Primary practice location

800 S Jackson Ave
Tulsa, OK 74127-9003

Mailing address

PO Box 21228
Dept 94
Tulsa, OK 74121-1228
Phone (918) 299-8232

National Provider Directory

National Provider Directory

Locations

800 S Jackson Ave
Tulsa, OK 74127
Phone (918) 749-4668

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1497827372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21228",
            "address_2": "DEPT 94",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211228",
            "telephone_number": "918-299-8232",
            "fax_number": "918-299-8233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S JACKSON AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741279003",
            "telephone_number": "918-749-4668",
            "fax_number": "918-749-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE E HEYSER EASTERLY DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2010-02-22",
        "deactivation_date": "2008-01-30",
        "reactivation_date": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "HEYSER EASTERLY",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-749-4668",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "OK",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.