Jennifer McKissick DO Inc PC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

JENNIFER MCKISSICK DO INC PC

Practice address

6262 S Sheridan Rd
Tulsa, OK 74133-4055

Phone

(918) 493-3211

NPI assigned

Oct 13, 2014

Organization subpart

No

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

Authorized official

Name

Jennifer McKissick

Title

DO

Phone

(918) 493-3211

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1669876108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671140388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 S SHERIDAN RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334055",
            "telephone_number": "918-493-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MCKISSICK DO INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "MCKISSICK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DO",
        "authorized_official_telephone_number": "918-493-3211"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Andrew Jenks, PA
• Jenni Burkitt D.D.S. PLLC
• Jennifer Benton, PHD, PLLC
• Jennifer Cremin Sellers, PLLC
• Jennifer Gibbens MD PLLC
• Jennifier Price, LPC, PLLC
• Caleb Borum Jennings
• David Christopher Jennings, DO
• John H Jennings, M.D.
• Madeline Jennings, APRN

• Anesthesiology Physician in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Anesthesiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.