James Jackson, MD LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

27258 Issued in OK

Legal business name

JAMES JACKSON, MD LLC

Practice address

3330 NW 56TH St Ste 612
Oklahoma City, OK 73112-4470

Phone

(405) 610-8810

NPI assigned

Apr 19, 2018

Organization subpart

No

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

Authorized official

Name

Tawana Hill

Title

Credentialing Specialist

Phone

(405) 896-7901

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Jason Jackson, MD

  • Physical Medicine & Rehabilitation Physician
  • Edmond, OK
  • NPI 1760646392
  NPD

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524096000000",
    "number": "1558858068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13924 QUAIL POINTE DR STE B",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731341024",
            "telephone_number": "405-896-7901",
            "fax_number": "405-242-4074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 NW 56TH ST STE 612",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124470",
            "telephone_number": "405-610-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES JACKSON, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2018-04-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TAWANA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "405-896-7901"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OK",
            "license": "27258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2019800000X",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202K00000X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E. Sturgis, PHD, PC
• James Earley, M.D., P.C.
• James F. Wall MD LLC
• James Hulsey DDS PLLC
• Natalie James Ingram, LPC
• James M Blaylock MD PC
• James M. Gilbert M.D., P.C.
• James O Hale Ms Behavioral Health Services Inc
• Allisha James
• Amy James, PA-C

• Rehabilitation Clinic/Center in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Rehabilitation Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2018; 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.