Active NPI
Jack Ray Lamberson, D.O.
- Family Medicine Physician
- Tulsa, OK
National Provider Identifier
1760608400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1874
- Practice address
- 550 S Peoria Ave
Tulsa, OK 74120-3820 - Phone
- (918) 588-1900
- Fax
- (918) 582-6405
- NPI assigned
- Apr 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1874 | OK | Primary |
Addresses
Primary practice location
550 S Peoria Ave
Tulsa, OK 74120-3820
Mailing address
550 S Peoria Ave
Tulsa, OK 74120-3820
Phone (918) 588-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1874 | OK | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indian Health Care Resource Center | Past | Accepting new patients | |
| Claremore Physicians LLC | Past | Accepting new patients | |
| Urgent Care of Green Country PLLC | Past | Accepting new patients | |
| Urgent Care of Green Country PLLC | Past | Accepting new patients | |
| Indian Health Care Resource Center of Tulsa, Inc. | Past | Accepting new patients |
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.
-
- Clinic/Center
- Claremore, OK
- NPI 1982692216
-
- Clinic/Center
- Tulsa, OK
- NPI 1427034958
-
- Pharmacy
- Tulsa, OK
- NPI 1457447609
-
- Urgent Care Clinic/Center
- Claremore, OK
- NPI 1336293067
-
- Urgent Care Clinic/Center
- Bixby, OK
- NPI 1376697003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201824000000",
"number": "1760608400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741203820",
"telephone_number": "918-588-1900",
"fax_number": "918-582-6405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S PEORIA AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741203820",
"telephone_number": "918-588-1900",
"fax_number": "918-582-6405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERSON",
"first_name": "JACK",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-18",
"last_updated": "2008-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OK",
"license": "1874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.