Jeanne E Heyser Easterly DO

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

Organization subpart

No

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

Authorized official

Name

Mrs. Jeanne Elizabeth Heyser Easterly, DO

Title

Owner

Phone

(918) 749-4668

Specialties & licenses 1

Addresses

Other identifiers 1

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200014570A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raghad Jassim
• Jasso Inc Dba Sooner Optical
• Jay J Weinstein, MD, Inc
• Jay Williamson DO PC
• Jazz'Lynn Durant Female
• Jeanne M Edwards PC
• Jeff Alexander, MD, PC
• Jeff K Parker, DDS PC
• Aszurdee Sade Jeff
• Lisa Dianne Jeffcoat

• Neuromusculoskeletal Medicine & OMM Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Oklahoma

• 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.