Individual provider Active NPI

Jessica Dawn Hildebrand, M.D.

  • Emergency Medicine Physician
  • Moore, OK
National Provider Identifier
1508934431
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
24769 Issued in OK
Practice address
2900 S Telephone Rd Ste 250
Moore, OK 73160-2969
Phone
(405) 237-7500
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24769 OK Primary

Addresses

Primary practice location

2900 S Telephone Rd Ste 250
Moore, OK 73160-2969

Mailing address

2900 S Telephone Rd Ste 250
Moore, OK 73160-2969
Phone (405) 237-7500

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
I20120420000250 OK Practitioner - Emergency Medicine 9638330525 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24769OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Mid-America, P.C. Emergency Medicine CurrentSince Dec 1, 2014 Accepting new patients
Emergency Services of Oklahoma PC Emergency Medicine CurrentSince Aug 8, 2023 Accepting new patients
Oklahoma Emergency Services PC Emergency Medicine CurrentSince Jan 25, 2012 Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4050 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 608-3200

9600 Broadway Ext
Oklahoma City, OK 73114
Phone (405) 486-2100

1102 W MacArthur St
Shawnee, OK 74804
Phone (405) 273-2270

Interoperability endpoints

  • Direct secure messaging: jhildebrand209908@direct.integrisok.com

Organizations & group practices 4

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416873600000",
    "number": "1508934431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S TELEPHONE RD STE 250",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602969",
            "telephone_number": "405-237-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S TELEPHONE RD STE 250",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731602969",
            "telephone_number": "405-237-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "JESSICA",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "24769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.