CHRISTOPHER JACK


Address: 1211 N Shartel Ave, Suite 200, Oklahoma City, OK 73103-2400
Phone: 4053553239

CHRISTOPHER JACK (NPI# 1720421852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720421852
Entity Type Individual
Full Name CHRISTOPHER JACK
Credential MA, SLP
Practice Address 1211 N Shartel Ave
Suite 200
Oklahoma City
OK 73103-2400
Practice Telephone 4053553239
Enumeration Date 2013-04-08
Last Update Date 2013-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 4046 OK Speech, Language and Hearing Service Providers

Other Providers CHRISTOPHER JACK

NPI Name Taxonomy Address Enumeration
1093918641 Christopher S Jack Student in an Organized Health Care Education/Training Program 1100 9th Ave, Seattle, WA 98101-2756 2007-06-08

Office Location

Street Address 1211 N SHARTEL AVE
SUITE 200
City OKLAHOMA CITY
State OK
Zip Code 73103-2400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235133778 Brenda Kris Mullins Internal Medicine 1211 N Shartel Ave, Suite 1000, Oklahoma City, OK 73103-2400 2005-06-13
1588175152 Ascent Health Services LLC Occupational Therapist 1211 N Shartel Ave, Oklahoma City, OK 73103-2400 2017-10-23
1285082511 Dennis E Sandler Md Pllc Obstetrics & Gynecology 1211 N Shartel Ave, 602, Oklahoma City, OK 73103-2400 2016-05-26
1487044954 Ashley Marie Kellert Marriage & Family Therapist 1211 N Shartel Ave, Suite 603, Oklahoma City, OK 73103-2400 2015-02-04
1053735035 Dr B Kris Mullins Md Pllc Internal Medicine 1211 N Shartel Ave, Suite 1000, Oklahoma City, OK 73103-2400 2014-02-11
1659613305 Leroy Young Preventive Medicine 1211 N Shartel Ave, Stuite # 500, Oklahoma City, OK 73103-2400 2013-03-20
1013255462 Chonita Kathleen Gardner Specialist 1211 N Shartel Ave, Suite 407, Oklahoma City, OK 73103-2400 2013-01-18
1366789836 Francis Deason Occupational Therapy Assistant 1211 N Shartel Ave, Ste 200, Oklahoma City, OK 73103-2400 2013-01-03
1902141765 Catalyst Health Clinic L.L.C. Family Medicine 1211 N Shartel Ave, Suite 208, Oklahoma City, OK 73103-2400 2012-12-05
1730439993 Tina Morris Occupational Therapy Assistant 1211 N Shartel Ave, Suite 200, Oklahoma City, OK 73103-2400 2012-09-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568946846 Medical Center Pain Clinic, LLC Pain Medicine 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 2018-09-21
1801321369 Jessica Reed Community Health Worker 432 Nw11th St, Oklahoma City, OK 73103 2017-04-21
1982070975 Retinal Care Diagnostics LLC Ophthalmology 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 2015-08-13
1316329063 Nurturing Positive Solutions Marriage & Family Therapist 307 N. W. 21st Street, Oklahoma City, OK 73103 2015-06-18
1871916700 Good Shepherd Ministries Clinic/Center 222 Nw 12th Street, Oklahoma City, OK 73103 2014-01-29
1275973448 Christine Donnette Jeffers Case Manager/Care Coordinator 433 Nw 25 #10, Oklahoma, OK 73103 2013-07-02
1629327358 Kelly Rose Whelan Social Worker 416 Nw 23rd St, Oklahoma City, OK 73103 2012-09-10
1801160585 Susan Elizabeth Bigbie Registered Nurse 1214 N Hudson, Oklahoma City, OK 73103 2012-02-28
1548533441 Doris Gayle Poteet Licensed Practical Nurse 1214 N. Hudson, Oklahoma, OK 73103 2012-02-23
1538440698 Wendi J Rollins Case Manager/Care Coordinator 600 Nw 23, Suite 108, Oklahoma City, OK 73103 2011-09-02
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134735970 Grace Marie Prieto Speech-Language Pathologist 505 E Sheridan Ave Apt 1126, Oklahoma City, OK 73104-6704 2020-09-17
1972118297 Tammy Sanders Speech-Language Pathologist 10208 Berrywood Dr, Oklahoma City, OK 73151-4006 2020-09-14
1346854932 Angela Lea Smith Speech-Language Pathologist 2222 Sw 44th St, Oklahoma City, OK 73119-3526 2020-09-01
1174133078 Ashley Mcleod Speech-Language Pathologist 2211 S Midwest Blvd, Oklahoma City, OK 73110-5448 2020-08-05
1114559614 Lulupi Planning Speech-Language Pathologist 4416 N Western Ave Ste 204, Oklahoma City, OK 73118-5256 2020-02-12
1700422599 Katie Knapik Speech-Language Pathologist 2216 Persimmon Dr, Oklahoma City, OK 73120-2086 2019-11-27
1467096768 Anne Michelle Powell Shafer Speech-Language Pathologist 12101 N Macarthur Blvd Ste 429, Oklahoma City, OK 73162-1800 2019-10-30
1164066585 Deirdre Colleen Fudge Speech-Language Pathologist 3341 Nw 19th St, Oklahoma City, OK 73107-3827 2019-10-29
1346881190 Adrian Trialon Whiting Speech-Language Pathologist 8801 S Olie Ave Ste 5, Oklahoma City, OK 73139-9362 2019-10-02
1790337566 Lauren Miller Speech-Language Pathologist 14000 Bermuda Cir, Oklahoma City, OK 73170-5737 2019-07-11
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Competitor

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City OKLAHOMA CITY
Zip Code 73103

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Dataset Information

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.

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