Individual provider Active NPI

Jordan Guffey, MD

  • Ophthalmology Physician
  • Tulsa, OK
National Provider Identifier
1992332522
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
42651 Issued in OK
Practice address
6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone
(918) 252-2020
Fax
(918) 307-1983
NPI assigned
Mar 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 42651 OK Primary

Addresses

Primary practice location

6140 S Memorial Dr
Tulsa, OK 74133-1933

Mailing address

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628003379 OK Practitioner - Ophthalmology 6709320856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Oklahoma College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triad Eye Institute PLLCGroup PAC ID 6507083557, 36 clinicians

Practice addresses (Care Compare)

6140 S Memorial Dr
Tulsa, OK 74133-1933
Phone (918) 252-2020

Hospital & facility affiliations

  • Saint Francis Hospital Muskogee Hospital, Muskogee, OK, CCN 370025

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42651OKMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Eye Institute PLLC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Triad Eye Institute PLLC Ophthalmology CurrentSince Aug 1, 2024 Accepting new patients
Triad Surgery Center LLC Past Accepting new patients

Locations

3615 SE Kentucky St
Bartlesville, OK 74006
Phone (800) 354-2020

1715 N Lynn Riggs Blvd
#1
Claremore, OK 74017
Phone (918) 342-4222

63223 E 290 Rd
Grove, OK 74344
Phone (918) 786-3931

1001 E Wyandotte Ave
McAlester, OK 74501
Phone (918) 302-9232

3131 Military Blvd
Muskogee, OK 74401
Phone (918) 290-2300

1020 NE 1st St
Pryor, OK 74361
Phone (918) 342-4222

8023 E 63rd Pl
Ste 500
Tulsa, OK 74133
Phone (918) 252-2020

3906 S Peoria Ave
Tulsa, OK 74105
Phone (918) 585-1523

6827 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020

6140 S Memorial Dr
Tulsa, OK 74133
Phone (918) 252-2020

Interoperability endpoints

  • Direct secure messaging: jguffey@triadeye.intellechartdirect.net

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 and National Provider Directory roles.

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1992332522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6140 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-252-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 S MEMORIAL DR",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331933",
            "telephone_number": "918-252-2020",
            "fax_number": "918-307-1983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUFFEY",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "42651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.