Individual provider Active NPI

Patricia Eugenie Jumelle, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Tulsa, OK
National Provider Identifier
1578880225
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
E-9271 Issued in AR
Practice address
8131 S Memorial Dr Ste 100
Tulsa, OK 74133-4348
Phone
(918) 872-6890
Fax
(918) 403-6336
NPI assigned
Apr 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pain Medicine (Anesthesiology) Physician 207LP2900X E-9271 AR Primary

Addresses

Primary practice location

8131 S Memorial Dr Ste 100
Tulsa, OK 74133-4348

Mailing address

8131 S Memorial Dr Ste 100
Tulsa, OK 74133-4348
Phone (918) 872-6890

Other practice location 1

2010 Chestnut St C
Van Buren, AR 72956-5340
Phone (479) 471-4250

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
I20161123000347 OK Practitioner - Pain ManagementPractitioner - Anesthesiology 5395051197 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc. CurrentSince Oct 31, 2016 Accepting new patients
St. John Physicians, Inc CurrentSince Oct 31, 2016 Accepting new patients

Locations

1705 E 19th St
Ste 304
Tulsa, OK 74104
Phone (918) 748-7660

8131 S Memorial Dr
Ste 100
Tulsa, OK 74133
Phone (918) 200-9944

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 2

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": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1578880225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 S MEMORIAL DR STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334348",
            "telephone_number": "918-872-6890",
            "fax_number": "918-403-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8131 S MEMORIAL DR STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334348",
            "telephone_number": "918-872-6890",
            "fax_number": "918-403-6336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2010 CHESTNUT ST C",
            "address_purpose": "LOCATION",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729565340",
            "country_code": "US",
            "telephone_number": "479-471-4250",
            "fax_number": "479-471-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JUMELLE",
        "first_name": "PATRICIA",
        "middle_name": "EUGENIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AR",
            "license": "E-9271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.