Active NPI
Jonathan T Hamilton, DO
- Family Medicine Physician
- Jenks, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 52103
- Practice address
- 11426 South Irving Lane
Suite 101
Jenks, OK 74037 - Phone
- (918) 209-7214
- Fax
- (877) 409-2821
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 52103 | OK | Primary |
Addresses
Primary practice location
11426 South Irving Lane
Suite 101
Jenks, OK 74037
Mailing address
11426 South Irving Lane
Suite 101
Jenks, OK 74037
Phone (918) 209-7214
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00319866 | Other | OK | RAILROAD MEDICARE |
| P00389811 | Other | OK | RAILROAD MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52103 | OK | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medwise LLC | Current | Accepting new patients | |
| Medwise LLC | Current | Accepting new patients | |
| Urgent Care of Green Country PLLC | Past | Accepting new patients | |
| Northeast Oklahoma Physician Network Inc | Past | Accepting new patients | |
| Premier Family Care PC | Family Medicine | Past | Accepting new patients |
| Northeast Oklahoma Physician Network Inc | Family Medicine | Past | Accepting new patients |
| Urgent Care Incorporated | Family Medicine | Past | Accepting new patients |
| Urgent Care of Green Country PLLC | Past | Accepting new patients |
Locations
505 SE Washington Blvd
#B
Bartlesville, OK 74006
Phone (918) 524-9760
14777 S Memorial Dr
Bixby, OK 74008
Phone (918) 727-2820
1095 N Aspen Ave
Broken Arrow, OK 74012
Phone (918) 727-2831
2550 N 9th St
Broken Arrow, OK 74012
Phone (918) 727-2850
11495 S State Highway 51
Coweta, OK 74429
Phone (918) 727-2780
11760 E 86th St N
Owasso, OK 74055
Phone (918) 272-2829
110 E 41st St
Sand Springs, OK 74063
Phone (918) 727-2831
32 W Taft Ave
Sapulpa, OK 74066
Phone (918) 727-2790
6336 E Admiral Pl
Tulsa, OK 74115
Phone (918) 727-2830
12902 E 51st St
Tulsa, OK 74134
Phone (918) 994-3476
12902 E 51st St
Ste 3
Tulsa, OK 74134
Phone (918) 727-2820
8105 E 68th St
Tulsa, OK 74133
Phone (918) 727-2810
1520 SW 1st St
Wagoner, OK 74467
Phone (918) 727-2790
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DIHBDD
Organizations & group practices 8
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.
-
- Urgent Care Clinic/Center
- Coweta, OK
- NPI 1629604434
-
- Family Medicine Physician
- Broken Arrow, OK
- NPI 1114982063
-
- Family Medicine Physician
- Broken Arrow, OK
- NPI 1215992235
-
- Durable Medical Equipment & Medical Supplies
- Tulsa, OK
- NPI 1407656572
-
- Family Medicine Physician
- Broken Arrow, OK
- NPI 1114283025
-
- Urgent Care Clinic/Center
- Broken Arrow, OK
- NPI 1205190501
-
- Urgent Care Clinic/Center
- Claremore, OK
- NPI 1336293067
-
- Urgent Care Clinic/Center
- Bixby, OK
- NPI 1376697003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1639159239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11426 SOUTH IRVING LANE",
"address_2": "SUITE 101",
"city": "JENKS",
"state": "OK",
"postal_code": "74037",
"telephone_number": "918-209-7214",
"fax_number": "877-409-2821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11426 SOUTH IRVING LANE",
"address_2": "SUITE 101",
"city": "JENKS",
"state": "OK",
"postal_code": "74037",
"telephone_number": "918-209-7214",
"fax_number": "877-409-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMILTON",
"first_name": "JONATHAN",
"middle_name": "T",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "52103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00319866",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00389811",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jenks, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.