Organization Active NPI

Jennifer R. Cameron, M.D., P.C.

  • Family Medicine Physician
  • Jenks, OK
National Provider Identifier
1740513084
Registry record updated Sep 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
23608 Issued in OK
Legal business name
JENNIFER R. CAMERON, M.D., P.C.
Practice address
715 W Main St
Suite P
Jenks, OK 74037-3554
Phone
(918) 296-7045
Fax
(918) 518-5023
NPI assigned
Sep 17, 2009
Last updated
Sep 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2009

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

Authorized official

Name
Ms. Julia Ann Benham, R.H.I.T.
Title
Coding/Compliance/Contracting Manag
Phone
(918) 296-7045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 23608 OK Primary

Addresses

Primary practice location

715 W Main St
Suite P
Jenks, OK 74037-3554

Mailing address

PO Box 1440
Jenks, OK 74037-1440
Phone (918) 296-7045

Other identifiers 1

IdentifierTypeStateIssuer
200050490 EMedicaidOK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1740513084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740371440",
            "telephone_number": "918-296-7045",
            "fax_number": "918-518-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W MAIN ST",
            "address_2": "SUITE P",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740373554",
            "telephone_number": "918-296-7045",
            "fax_number": "918-518-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER R. CAMERON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "BENHAM",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CODING/COMPLIANCE/CONTRACTING MANAG",
        "authorized_official_telephone_number": "918-296-7045",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.H.I.T."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200050490 E",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jenks, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.