Organization Active NPI

JGM Spine, PLLC

  • Vascular Surgery Physician
  • Oklahoma City, OK
National Provider Identifier
1750513230
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
3168 Issued in OK
Legal business name
JGM SPINE, PLLC
Practice address
3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134-2612
Phone
(405) 241-3539
Fax
(405) 241-0998
NPI assigned
Aug 17, 2009
Last updated
Nov 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Dr. Jim G Melton, D.O.NPI 1093702011
Title
Owner/ Physician
Phone
(405) 241-3539

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 3168 OK Primary

Addresses

Primary practice location

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134-2612

Mailing address

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134-2612
Phone (405) 241-3539

National Provider Directory

National Provider Directory

Locations

3200 Quail Springs Pkwy
Ste 200
Oklahoma City, OK 73134
Phone (405) 241-3539

4050 W Memorial Rd
Ste B
Oklahoma City, OK 73120
Phone (405) 823-8919

8100 S Walker Ave
Oklahoma City, OK 73139
Phone (405) 602-6500

Practitioners & affiliated clinicians

Practitioners 2

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": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1750513230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY",
            "address_2": "STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342612",
            "telephone_number": "405-241-3539",
            "fax_number": "405-241-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 QUAIL SPRINGS PKWY",
            "address_2": "STE 200",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731342612",
            "telephone_number": "405-241-3539",
            "fax_number": "405-241-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGM SPINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "MELTON",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "405-241-3539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OK",
            "license": "3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.