Active NPI
Jeffrey M Arnette, CPO
- Specialist
- Muskogee, OK
National Provider Identifier
1699802389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 5
- Practice address
- 311 S York St
Muskogee, OK 74403-5954 - Phone
- (918) 681-2346
- Fax
- (918) 681-4749
- NPI assigned
- Feb 28, 2007
- Last updated
- Jan 3, 2008
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 5 | OK | Primary |
Addresses
Primary practice location
311 S York St
Muskogee, OK 74403-5954
Mailing address
PO Box 452007
Grove, OK 74345-2007
Phone (918) 786-7701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930053240 | MO | DME Supplier - Orthotic Personnel | 2264553072 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Joplin, MO |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Prosthetic/Orthotic Supplier
- Joplin, MO
- NPI 1740258953
O20100930053240
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5 | OK | MD | Prosthetist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthetic/Orthotic Supplier
- Grove, OK
- NPI 1841776705
-
- Prosthetic/Orthotic Supplier
- Pittsburg, KS
- NPI 1447721865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1699802389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 452007",
"city": "GROVE",
"state": "OK",
"postal_code": "743452007",
"telephone_number": "918-786-7701",
"fax_number": "918-786-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 S YORK ST",
"city": "MUSKOGEE",
"state": "OK",
"postal_code": "744035954",
"telephone_number": "918-681-2346",
"fax_number": "918-681-4749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARNETTE",
"first_name": "JEFFREY",
"middle_name": "M",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "5",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muskogee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.