Deborah Jean Dejarnett, DO

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

3370 Issued in OK

Practice address

10502 N 110TH E Ave
Bailey Medical Center
Owasso, OK 74055-6655

Phone

(918) 376-8971

Fax

(918) 376-8549

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Dr. Dbeorah Jean Mattox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
• Direct secure messaging: ddejarnett113117@ahs.direct-ci.com

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.

• Ahs Henryetta Hospital LLC

  • Rural Health Clinic/Center
  • Henryetta, OK
  • NPI 1871008722
  NPD (past)
• Cherokee Nation

  • Multi-Specialty Clinic/Center
  • Tahlequah, OK
  • NPI 1093722324
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1609899624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10502 N 110TH EAST AVE",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556655",
            "telephone_number": "918-376-8971",
            "fax_number": "918-376-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10502 N 110TH E AVE",
            "address_2": "BAILEY MEDICAL CENTER",
            "city": "OWASSO",
            "state": "OK",
            "postal_code": "740556655",
            "telephone_number": "918-376-8971",
            "fax_number": "918-376-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJARNETT",
        "first_name": "DEBORAH",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3370",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OK",
            "license": "3370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100117960A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DBEORAH",
            "last_name": "MATTOX",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chloe Lynn Riley Dawson
• Joseph W Day, DMD
• Timothy Dearhamer
• Diana L Defelice, DO
• Clayton David Dejarnett, D.O.
• Victoria Delaney, APRN
• Denise Johnson, OD,PLLC
• April Breanne Denney, PHARM.D
• Dental Depot of Owasso, PLLC
• Dental Professionals of Ok, PC

• Hospitalist Physician in Owasso, OK
• Providers in Owasso, OK by specialty
• Hospitalist Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; 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.