Active NPI
Susan J Jones, D.O.
- Family Medicine Physician
- Wynnewood, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2341
- Practice address
- 1202 E Robert S Kerr Blvd
Wynnewood, OK 73098-7822 - Phone
- (405) 665-2424
- Fax
- (405) 665-2466
- NPI assigned
- Feb 27, 2006
- Last updated
- Jun 30, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2341 | OK | Primary |
Addresses
Primary practice location
1202 E Robert S Kerr Blvd
Wynnewood, OK 73098-7822
Mailing address
1202 E Robert S Kerr Blvd
Wynnewood, OK 73098-7822
Phone (405) 665-2424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100124310A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oklahoma State University College of Osteopathic Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
216 S Main St
Lindsay, OK 73052-5634
Phone (405) 756-1414
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2341 | OK | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Plains Medical Center Inc | Current | Accepting new patients | |
| Southern Plains Medical Center Inc | Current | Accepting new patients | |
| Southern Plains Medical Center Inc | Current | Accepting new patients | |
| State of Oklahoma | Past | Accepting new patients | |
| Washita Valley Living Center, Inc | Past | Accepting new patients | |
| Garvin County Occupational & Family Medicine LLC | Past | Accepting new patients |
Locations
1104 E Central Blvd
Anadarko, OK 73005
Phone (405) 247-6685
2222 W Iowa Ave
Chickasha, OK 73018
Phone (405) 592-3937
504 Williams
Maysville, OK 73057
Phone (405) 867-4404
100 Valley Dr
Pauls Valley, OK 73075
Phone (405) 238-5501
106 Burr Ave
Pauls Valley, OK 73075
Phone (405) 238-4633
200 Melville Dr
Pauls Valley, OK 73075
Phone (405) 238-5555
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Lindsay, OK
- NPI 1366585564
-
dba CareFirst Wellness Associates
- Clinic/Center
- Anadarko, OK
- NPI 1255357745
-
dba CareFirst Wellness Associates
- Clinic/Center
- Norman, OK
- NPI 1881499655
-
dba CareFirst Wellness Associates
- Clinic/Center
- Chickasha, OK
- NPI 1962469098
-
- Primary Care Clinic/Center
- Wynnewood, OK
- NPI 1851736029
-
- Skilled Nursing Facility
- Talihina, OK
- NPI 1154589430
-
- Skilled Nursing Facility
- Pauls Valley, OK
- NPI 1528075546
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Norman Regional
- General Acute Care Hospital
- Norman, OK
- NPI 1700882578
-
- Community Based Hospice Care Agency
- Oklahoma City, OK
- NPI 1871685503
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1730155904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 E ROBERT S KERR BLVD",
"city": "WYNNEWOOD",
"state": "OK",
"postal_code": "730987822",
"telephone_number": "405-665-2424",
"fax_number": "405-665-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 E ROBERT S KERR BLVD",
"city": "WYNNEWOOD",
"state": "OK",
"postal_code": "730987822",
"telephone_number": "405-665-2424",
"fax_number": "405-665-2466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SUSAN",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "2341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100124310A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.