Jason J Jackson (NPI# 1760646392, PAC ID# 3870661184) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1760646392 |
| PAC ID by PECOS | 3870661184 |
| Professional Enrollment ID | I20091008000643 |
| Full Name | Jason J Jackson |
| Organization Legal Name | ELITE PAIN AND HEALTH PC |
| Address |
13100 N Western Ave Suite 200 Oklahoma City OK 73114-1430 |
| Phone Number | 8007811220 |
| Gender | M |
| Medical School | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 5193017085 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 370212 | OKLAHOMA CENTER FOR ORTHOPAEDIC & MULTI-SP |
| 370008 | NORMAN REGIONAL |
| 370028 | INTEGRIS BAPTIST MEDICAL CENTER, INC |
| 370106 | INTEGRIS SOUTHWEST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 | 8007811220 | ELITE PAIN AND HEALTH PC |
| Organization Legal Name | ELITE PAIN AND HEALTH PC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keley J Booth | Interventional Pain Management | Elite Pain and Health PC | 11401 S Western Ave, Oklahoma City, OK 73170-5819 |
| Richard D Watkins | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
| Tiffany Ogden | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
| Tammy Lynn Williams | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
| Street Address |
13100 N WESTERN AVE SUITE 200 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip | 73114-1430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy D Thomas | Podiatry | Foot and Ankle Surgeons of Oklahoma Pllc | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
| Alaina J Jones | Podiatry | Foot and Ankle Surgeons of Oklahoma Pllc | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
| Brandon M Rhinehart | Dermatology | Skin Surgery Center of Oklahoma, P.C. | 13100 N Western Ave, Suite 301, Oklahoma City, OK 73114-1432 |
| Richard D Watkins | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
| Tiffany Ogden | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
| Paige E Beverly | Physician Assistant | Skin Surgery Center of Oklahoma, P.C. | 13100 N Western Ave, Suite 301, Oklahoma City, OK 73114-1432 |
| Tammy Lynn Williams | Nurse Practitioner | Elite Pain and Health PC | 13100 N Western Ave, Suite 200, Oklahoma City, OK 73114-1430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samuel Schmid | Optometry | 1408 W Britton Rd, Oklahoma City, OK 73114-1316 | |
| Seethal Rao Madhavarapu | Family Medicine | Oklahoma Sports and Orthopedics Institute Pllc | 13401 N Western Ave, Suite 301, Oklahoma City, OK 73114-1411 |
| Travis Jack Stark | Podiatry | Comprehensive Foot and Ankle Institute Pllc | 13401 N Western Ave, Oklahoma City, OK 73114-1412 |
| Jodi E. Jenista | Nurse Practitioner | Allied Physicians Group Inc P C | 8014 N Western Ave, Suite E, Oklahoma City, OK 73114-1911 |
| Timothy R Jones | Otolaryngology | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 | |
| Malarie M Jackson | Nurse Practitioner | Crossway Medical Clinic W Memorial Pllc | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 |
| Danielle N Zachary | Certified Clinical Nurse Specialist (cns) | Crossway Medical Clinic W Memorial Pllc | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 |
| Kimberly Bryan | Nurse Practitioner | Crossway Medical Clinic W Memorial Pllc | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 |
| Morgan E Green | Physician Assistant | Crossway Medical Clinic W Memorial Pllc | 609 W Memorial Rd, Oklahoma City, OK 73114-2006 |
| Darren Elenburg | Podiatry | 609 W Memorial Rd, Foot and Ankle Center of Oklahoma, Oklahoma City, OK 73114-2006 | |
| Find all physicians in zip 73114 | |||
| City | OKLAHOMA CITY |
| Zip Code | 73114 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | OKLAHOMA CITY + PHYSICAL MEDICINE AND REHABILITATION |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.