Jessica N Doty, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

29910 Issued in OK

Practice address

3580 RC Luttrell Dr Ste 102
Norman, OK 73072-9736

Phone

(405) 928-6100

Fax

(405) 928-8222

NPI assigned

Apr 23, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Oklahoma College of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.doty@direct.stjohnhealthsystem.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology and Cosmetic Center of Oklahoma, P.L.L.C.

  • Dermatology Physician
  • Norman, OK
  • NPI 1306317581
  Medicare reassignment NPD Authorized official
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1730523531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3580 RC LUTTRELL DR STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729736",
            "telephone_number": "405-928-6100",
            "fax_number": "405-928-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 RC LUTTRELL DR STE 102",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730729736",
            "telephone_number": "405-928-6100",
            "fax_number": "405-928-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTY",
        "first_name": "JESSICA",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OK",
            "license": "29910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Thomas Donovan, M.D.
• Taryn Donson, CASE MANAGER
• Angela Michelle Dorney, APRN-CNP, FNP-C
• Sarah Marie Dos Santos, MSW
• Beverly Dotson
• Pete Smith Doughty Jr., DPH
• Robert W. Dow, M.D.
• Glenda Kate Dowdell, RBT
• Stacia Marie Dowell, D.D.S.
• Jacie Doyle

• Dermatology Physician in Norman, OK
• Providers in Norman, OK by specialty
• Dermatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.

Verify at the official NPI Registry.