Individual provider Active NPI

Jonathan T Hamilton, DO

  • Family Medicine Physician
  • Jenks, OK
National Provider Identifier
1639159239
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
52103 Issued in OK
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

Updated by the provider on Dec 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00319866OtherOKRAILROAD MEDICARE
P00389811OtherOKRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040528000611 OK Practitioner - Family PracticePractitioner - Emergency Medicine 7810978400 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
52103OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medwise LLC CurrentSince Jun 3, 2022 Accepting new patients
Medwise LLC CurrentSince Jun 3, 2022 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 PastSince Jul 26, 2005 Accepting new patients
Northeast Oklahoma Physician Network Inc Family Medicine Past Accepting new patients
Urgent Care Incorporated Family Medicine PastSince Oct 15, 2004 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.