NPIMap

Individual provider Active NPI

James Jason Jackson, MD

  • Physical Medicine & Rehabilitation Physician
  • Edmond, OK
National Provider Identifier
1760646392
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
27258 Issued in OK
Practice address
941 W I 35 Frontage Rd Ste 164
Edmond, OK 73034-7375
Phone
(405) 285-2994
Fax
(405) 285-2997
NPI assigned
Jul 13, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 27258 OK
Physical Medicine & Rehabilitation Physician 208100000X 27258 OK Primary

Addresses

Primary practice location

941 W I 35 Frontage Rd Ste 164
Edmond, OK 73034-7375

Mailing address

8609 NE 129TH St
Jones, OK 73049-3416
Phone (053) 885-4804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091008000643 OK Practitioner - Physical Medicine and Rehabilitation 3870661184 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Oklahoma College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ortho Plus Holdings LLCGroup PAC ID 0345586822, 5 clinicians
Ortho Plus LLCGroup PAC ID 1052610524, 5 clinicians

Practice addresses (Care Compare)

12301 S Western Ave
Suite A3
Oklahoma City, OK 73170-6085
Phone (405) 676-8643

941 W I 35 Frontage Rd
Suite 164
Edmond, OK 73034-7375
Phone (405) 285-2994

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal30

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ortho Plus, LLC CurrentSince Aug 20, 2021 Accepting new patients
James Jackson, MD LLC Current Accepting new patients
Regeneration Nation Tulsa LLC CurrentSince Oct 4, 2022 Accepting new patients
Ortho Plus Holdings LLC CurrentSince Aug 20, 2021 Accepting new patients
Ortho Plus Holdings LLC CurrentSince Aug 20, 2021 Accepting new patients
Ortho Plus LLC CurrentSince Aug 20, 2021 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

2419 N Commerce St
Ardmore, OK 73401

2419 N Commerce St
Ste B
Ardmore, OK 73401
Phone (580) 226-7587

301 Lilac Dr
Ste 140
Edmond, OK 73034
Phone (405) 906-3755

941 W I 35 Frontage Rd
Ste 164
Edmond, OK 73034
Phone (405) 285-2994

1000 Hospital Dr
Kingfisher, OK 73750
Phone (405) 375-3141

12301 S Western Ave
Ste A3
Oklahoma City, OK 73170
Phone (405) 200-1869

3330 NW 56th St
Ste 612
Oklahoma City, OK 73112
Phone (405) 601-8810

13924 Quail Pointe Dr
Ste B
Oklahoma City, OK 73134

6565 S Yale Ave
Ste 104
Tulsa, OK 74136
Phone (918) 481-2772

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18605/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/13205/brand/1/csg/1/fhir/r4

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1215907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678752000000",
    "number": "1760646392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8609 NE 129TH ST",
            "city": "JONES",
            "state": "OK",
            "postal_code": "730493416",
            "telephone_number": "053-885-4804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 W I 35 FRONTAGE RD STE 164",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347375",
            "telephone_number": "405-285-2994",
            "fax_number": "405-285-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "JAMES",
        "middle_name": "JASON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "OK",
            "license": "27258",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "27258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.