Edison Dale Jeffus (NPI# 1407905284, PAC ID# 4385802156) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1407905284 |
| PAC ID by PECOS | 4385802156 |
| Professional Enrollment ID | I20120224000333 |
| Full Name | Edison Dale Jeffus |
| Address |
3220 S Peoria Ave Suite 2 Tulsa OK 74105-2003 |
| Phone Number | 9187495506 |
| Gender | M |
| Graduation Year | 1990 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3220 S Peoria Ave, Suite 2, Tulsa, OK 74105-2003 | 9187495506 | |
| 3601 N Columbia, Tulsa, OK 74110 | 9184283600 | DEER OAKS MENTAL HEALTH ASSOCIATES PC |
| Street Address |
3220 S PEORIA AVE SUITE 2 |
| City | TULSA |
| State | OK |
| Zip | 74105-2003 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Cate | Chiropractic | 2828 E 51st St, Suite 103, Tulsa, OK 74105-1745 | |
| Dorothy L Millican | Psychologist, Clinical | 1201 E 33rd St, D, Tulsa, OK 74105-2017 | |
| Stephenie R Craig | Clinical Social Worker | 1201 E 33rd St, Suite C, Tulsa, OK 74105-2017 | |
| Lynn Loebner | Clinical Social Worker | 1221 E 33rd St, Lynn Loebner Lcsw, Tulsa, OK 74105-2043 | |
| Rachel Deaton | Clinical Social Worker | 1221 E 33rd St, Suite 100, Tulsa, OK 74105-2046 | |
| Jo Ellen Beard | Psychologist, Clinical | 1221 E 33rd St, Suite 100, Tulsa, OK 74105-2046 | |
| Anton A Surja | Psychiatry | 2626 E 35th St, Tulsa, OK 74105-2823 | |
| Zeb L Brister Jr. | Ophthalmology | Eye Care for Tulsa Inc. | 3906 S Peoria, Tulsa, OK 74105-3131 |
| Stephanie P Souvannachak-cowick | Optometry | Eye Care for Tulsa Inc. | 3906 S Peoria, Tulsa, OK 74105-3131 |
| Christopher M Mcdaniels | Optometry | 3746 S Peoria Ave, Look Eyecare and Eyewear, Tulsa, OK 74105-3265 | |
| Find all physicians in zip 74105 | |||
| City | TULSA |
| Zip Code | 74105 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | TULSA + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Edison Dale Jeffus.
| 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.