Jsco Enterprises PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

JSCO ENTERPRISES PLLC

Practice address

555 W. Ruth St.
Sallisaw, OK 74955-7039

Phone

(918) 774-0147

Fax

(918) 774-0286

NPI assigned

Jul 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer C. Scoufos, D.O.

Title

Physician/President

Phone

(918) 774-0147

Specialties & licenses 1

Addresses

Other names 1

• THE family clinic Doing business as

Locations

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1659535607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 W. RUTH ST.",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749557039",
            "telephone_number": "918-774-0147",
            "fax_number": "918-774-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 W. RUTH ST.",
            "city": "SALLISAW",
            "state": "OK",
            "postal_code": "749557039",
            "telephone_number": "918-774-0147",
            "fax_number": "918-774-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSCO ENTERPRISES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "SCOUFOS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "918-774-0147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE family clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Jones
• Martha Ann Jones, BA
• Sierra Jones
• Marla Kay Jordan
• JP Fitness Health and Travel
• Madicynn Keaton
• Danielle M Kelley
• Michael Shawn Kennedy
• Julie I Kimble, BS BHRS
• Micki Alene Kimble

• Primary Care Clinic/Center in Sallisaw, OK
• Providers in Sallisaw, OK by specialty
• Primary Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.