Active NPI
Jeffrey L. Halford, DO, PLLC
- Physical Medicine & Rehabilitation Physician
- Broken Arrow, OK
National Provider Identifier
1689772162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 3924
- Legal business name
- JEFFREY L. HALFORD, DO, PLLC
- Practice address
- 701 W Queens St
Broken Arrow, OK 74012-1784 - Phone
- (918) 794-6008
- Fax
- (918) 516-3447
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey L Halford, DO
- Title
- DO
- Phone
- (918) 779-3963
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 3924 | OK | Primary |
Addresses
Primary practice location
701 W Queens St
Broken Arrow, OK 74012-1784
Mailing address
5421 E 120TH St
Tulsa, OK 74137-8804
Phone (918) 779-3963
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100126340E | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
701 W Queens St
Broken Arrow, OK 74012
2121 S Columbia Ave
Ste 501
Tulsa, OK 74114
Phone (918) 615-4015
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- McAlester, OK
- NPI 1427563428
-
- Anesthesiology Physician
- Muskogee, OK
- NPI 1104085711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1689772162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5421 E 120TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741378804",
"telephone_number": "918-779-3963",
"fax_number": "918-856-3736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W QUEENS ST",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740121784",
"telephone_number": "918-794-6008",
"fax_number": "918-516-3447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEFFREY L. HALFORD, DO, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HALFORD",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "DO",
"authorized_official_telephone_number": "918-779-3963",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "OK",
"license": "3924",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100126340E",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.