Individual provider Active NPI

Jonathan Patrick Oakie

  • Emergency Medicine Physician
  • Tuscumbia, AL
National Provider Identifier
1740802115
Registry record updated Jul 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1649 Issued in AL
Practice address
134 Grand Haven Dr
Tuscumbia, AL 35674-9133
Phone
(928) 279-8944
NPI assigned
May 8, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 1649 AL Primary

Addresses

Primary practice location

134 Grand Haven Dr
Tuscumbia, AL 35674-9133

Mailing address

134 Grand Haven Dr
Tuscumbia, AL 35674-9133
Phone (928) 279-8944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN, AZ3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20200910000031 AL Practitioner - Physician Assistant 6709204654 Reassigns benefits to 1 organization
I20210422000445 TN Practitioner - Physician Assistant 6709204654 Reassigns benefits to 1 organization
I20220405001747 AZ Practitioner - Physician Assistant 6709204654 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1649ALMDOccupational Therapist
9025AZMDSpeech-Language Assistant

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595808000000",
    "number": "1740802115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GRAND HAVEN DR",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356749133",
            "telephone_number": "928-279-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GRAND HAVEN DR",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356749133",
            "telephone_number": "928-279-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKIE",
        "first_name": "JONATHAN",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-07-27",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "1649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

Verify at the official NPI Registry.