JIMMY JEFFCOATS (NPI# 1265986673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265986673 |
| Entity Type | Individual |
| Full Name | JIMMY JEFFCOATS |
| Credential | RDCS |
| Practice Address |
1401 8th Ave Nw Ardmore OK 73401-2428 |
| Mailing Address |
Po Box 1702 Ardmore OK 73402-1702 |
| Practice Telephone | 5805042430 |
| Mailing Telephone | 5805042430 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246X00000X | Spec/Tech, Cardiovascular | 32685 | MD | Technologists, Technicians & Other Technical Service Providers |
| N | 2471S1302X |
Radiologic Technologist Specialization: Sonography |
OK | Technologists, Technicians & Other Technical Service Providers | |
| N | 2471V0105X |
Radiologic Technologist Specialization: Vascular Sonography |
OK | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 20041980A | 05 |
| Street Address |
1401 8TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-2428 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| Taxonomy Code | 246X00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| An allied health professional who performs diagnostic examinations at the request or direction of a physician in one or more of the following three areas: invasive cardiology, noninvasive cardiology, and noninvasive peripheral vascular study. Cardiovascular technologists are one type of allied health professional for which the Committee on Allied Health Education and Accreditation has accredited education programs |
| Notes: Source: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 159. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912035676 | Donna Vieth | Spec/Tech, Cardiovascular | 305 S 5th, St. Mary's Hospital, Enid, OK 73701 | 2007-03-02 |
| 1982732640 | Paul J Vieth | Spec/Tech, Cardiovascular | 601 S Monroe, Enid, OK 73701 | 2007-03-02 |
| 1619925252 | Norman Cath Lab Associates, LLC | Spec/Tech, Cardiovascular | 3400 W Tecumseh Rd, Suite 103, Norman, OK 73072-1810 | 2006-05-05 |
| 1184672495 | Midwest City Heart Center, Pllc | Spec/Tech, Cardiovascular | 8121 National Ave, #104, Midwest City, OK 73110-7530 | 2006-05-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.