Active NPI
Samuel Nathan Levi Jones, MD, Inc
- Anatomic Pathology & Clinical Pathology Physician
- Shawnee, OK
National Provider Identifier
1902820533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- SAMUEL NATHAN LEVI JONES, MD, INC
- Practice address
- 1102 W Macarthur St
Shawnee, OK 74804-1743 - Phone
- (405) 878-8174
- NPI assigned
- Jul 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Nathan Levi Jones, MD
- Title
- President
- Phone
- (405) 878-8174
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | Primary |
Addresses
Primary practice location
1102 W Macarthur St
Shawnee, OK 74804-1743
Mailing address
2224 NW 50TH St
Suite 276W
Oklahoma City, OK 73112-8046
Phone (405) 858-2350
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100064870A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051223000269 | OK | Part B Supplier - Clinic/Group Practice | 9234151853 |
Receives reassigned benefits from 1 practitioner Practice locations: Shawnee, OK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Shawnee, OK
- NPI 1538188131
Anatomic Pathology & Clinical Pathology, OK
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277164800000",
"number": "1902820533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2224 NW 50TH ST",
"address_2": "SUITE 276W",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731128046",
"telephone_number": "405-858-2350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1102 W MACARTHUR ST",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041743",
"telephone_number": "405-878-8174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAMUEL NATHAN LEVI JONES, MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-27",
"last_updated": "2010-06-22",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "SAMUEL NATHAN",
"authorized_official_middle_name": "LEVI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "405-878-8174",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100064870A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.