Individual provider Active NPI

Jonathan Jennings Wojcik, MD

  • General Practice Physician
  • Oklahoma City, OK
National Provider Identifier
1831579309
Registry record updated May 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
31624 Issued in OK
Practice address
711 Stanton L Young Blvd
PPB-111
Oklahoma City, OK 73104-5023
Phone
(405) 271-4906
Fax
(405) 271-4910
NPI assigned
May 31, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 31624 OK Primary
Orthopaedic Surgery Physician 207X00000X 31624 OK

Addresses

Primary practice location

711 Stanton L Young Blvd
PPB-111
Oklahoma City, OK 73104-5023

Mailing address

1516 NW 40TH St
Oklahoma City, OK 73118-2628

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31624OKMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ou Health Partners, Inc Past Accepting new patients

Organizations & group practices 1

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": "1433030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558310400000",
    "number": "1831579309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 NW 40TH ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731182628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 STANTON L YOUNG BLVD",
            "address_2": "PPB-111",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731045023",
            "telephone_number": "405-271-4906",
            "fax_number": "405-271-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOJCIK",
        "first_name": "JONATHAN",
        "middle_name": "JENNINGS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-31",
        "last_updated": "2019-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OK",
            "license": "31624",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OK",
            "license": "31624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.