Organization Active NPI

Pete Jones MD Inc

  • Family Medicine Physician
  • Tulsa, OK
National Provider Identifier
1982872719
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OKLAHOMA 18827 Issued in OK
Legal business name
PETE JONES MD INC
Practice address
529 E 36TH St N
Tulsa, OK 74106
Phone
(918) 425-8600
Fax
(918) 425-3305
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Pete Jones, MD MSPHNPI 1407883804
Title
Medical Director
Phone
(918) 425-8600

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OKLAHOMA 18827 OK Primary

Addresses

Primary practice location

529 E 36TH St N
Tulsa, OK 74106

Mailing address

PO Box 703024
529 E 36TH St N
Tulsa, OK 74106
Phone (918) 425-8600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120509000347 OK Part B Supplier - Clinic/Group Practice 3577725563 Receives reassigned benefits from 1 practitioner
Practice locations: Tulsa, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2078293Pete Jones MD Inc529 E 36TH St N, Tulsa, OK 74106Certificate of waiverMay 26, 2028

National Provider Directory

National Provider Directory

Locations

529 E 36th St N
Tulsa, OK 74106
Phone (918) 425-8600

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1982872719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703024",
            "address_2": "529 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74106",
            "telephone_number": "918-425-8600",
            "fax_number": "918-425-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 E 36TH ST N",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74106",
            "telephone_number": "918-425-8600",
            "fax_number": "918-425-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETE JONES MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "PETE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "918-425-8600",
        "authorized_official_credential": "MD MSPH"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "OKLAHOMA 18827",
            "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 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.