Individual provider Active NPI

Jake R Oman, DO

  • Family Medicine Physician
  • Hopkinsville, KY
National Provider Identifier
1730561143
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
05642 Issued in KY
Practice address
227 Burley Ave
Hopkinsville, KY 42240-8725
Phone
(270) 887-6565
Fax
(270) 887-8301
NPI assigned
Jun 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 007345 AZ
Family Medicine Physician 207Q00000X 05642 KY Primary

Addresses

Primary practice location

227 Burley Ave
Hopkinsville, KY 42240-8725

Mailing address

PO Box 2400
Hopkinsville, KY 42241-2400
Phone (270) 885-0570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20231027002357 KY Practitioner - Family Practice 1153664602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center IncGroup PAC ID 4183607252, 113 clinicians

Practice addresses (Care Compare)

227 Burley Ave
Hopkinsville, KY 42240-8725
Phone (270) 887-6565

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc CurrentSince Nov 8, 2023 Accepting new patients
Jennie Stuart Medical Center Inc CurrentSince Nov 8, 2023 Accepting new patients
Jennie Stuart Medical Center Inc Family Medicine Current Accepting new patients
Summit Healthcare Association Current Accepting new patients
Jennie Stuart Medical Center Past Accepting new patients

Locations

2200 E Show Low Lake Rd
Show Low, AZ 85901
Phone (928) 537-4375

227 Burley Ave
Hopkinsville, KY 42240
Phone (270) 887-5640

102 W 18th St
Hopkinsville, KY 42240
Phone (270) 707-2100

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

Interoperability endpoints

  • Direct secure messaging: joman1028850@direct.deaconess.com
  • Direct secure messaging: jakeoman@shrmcshma.allscriptsdirect.net

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1730561143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2400",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422412400",
            "telephone_number": "270-885-0570",
            "fax_number": "270-887-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 BURLEY AVE",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422408725",
            "telephone_number": "270-887-6565",
            "fax_number": "270-887-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMAN",
        "first_name": "JAKE",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "007345",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "05642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.