Individual provider Active NPI

Jonathon Michael McCrary, PA-C

  • Surgical Physician Assistant
  • Tulsa, OK
National Provider Identifier
1851764856
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
4677 Issued in OK
Practice address
6151 S Yale Ave Ste 100a
Tulsa, OK 74136-1929
Phone
(918) 494-8500
Fax
(918) 307-5578
NPI assigned
Nov 12, 2015
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X P-T1548 AR
Surgical Physician Assistant 363AS0400X 4677 OK Primary

Addresses

Primary practice location

6151 S Yale Ave Ste 100a
Tulsa, OK 74136-1929

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331
Phone (918) 499-4855

Other practice location 1

6151 S Yale Ave Ste 1304
Tulsa, OK 74136-1907
Phone (918) 494-8500

Other practice location 2

10505 E 91st St Ste 208
Tulsa, OK 74133-5829
Phone (918) 494-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211117002562 OK Practitioner - Physician Assistant 1052618402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

6161 S Yale Ave
Tulsa, OK 74136-1902
Phone (918) 502-4720

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P-T1548ARMDSurgical Physician Assistant
4677OKMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Oct 11, 2021 Accepting new patients
Saint Francis Hospital, Inc. Past Accepting new patients
Little Rock Neurosurgery Clinic Past Accepting new patients

Locations

10505 E 91st St
Ste 208
Tulsa, OK 74133
Phone (918) 307-5470

6151 S Yale Ave
Ste 100A
Tulsa, OK 74136
Phone (918) 494-2100

6151 S Yale Ave
Ste 1304
Tulsa, OK 74136
Phone (918) 494-5300

6585 S Yale Ave
Ste 710
Tulsa, OK 74136
Phone (918) 502-4900

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Interoperability endpoints

  • Direct secure messaging: jmccrary254076@direct.saintfrancis.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1851764856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331",
            "telephone_number": "918-499-4855",
            "fax_number": "918-488-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 S YALE AVE STE 100A",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741361929",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6151 S Yale Ave Ste 1304",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741361907",
            "country_code": "US",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10505 E 91st St Ste 208",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741335829",
            "country_code": "US",
            "telephone_number": "918-494-8500",
            "fax_number": "918-307-5578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCRARY",
        "first_name": "JONATHON",
        "middle_name": "MICHAEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-12",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AR",
            "license": "P-T1548",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OK",
            "license": "4677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.