Dr. Jay Kevin Johnson
Neurologist
802 S Jackson Ave Ste 420
Tulsa
, Oklahoma 74127-9059
Dr. Jay Kevin Johnson
Neurologist
802 S Jackson Ave Ste 420
Tulsa
, Oklahoma 74127-9059
(918) 561-1173
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About
Features
Specialties
- Neurologist
Languages spoken
- English
Location
First Address
- Dr. Jay Kevin Johnson
- 5310 E 31st St Fl 13
- Tulsa, OK
- Zip : 74135-5018
- Fax : (918) 561-1173
- Phone : (918) 561-5701
Second Address
- Dr. Jay Kevin Johnson
- 802 S Jackson Ave Ste 420
- Tulsa, OK
- Zip : 74127-9059
- Fax : (918) 745-0323
- Phone : (918) 743-2882
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2084N0400X | Neurologist | 2533 | OK |
National Provider Identifier
| NPI | 1043224264 |
|---|---|
| Provider Name | Dr. Jay Kevin Johnson |
| First Address | Tulsa, OK 74135-5018 |
| Second Address | Tulsa, OK 74127-9059 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/07/2006 |
| Last Update Date | 15/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 100137280B | (05) | OK |
| 369701YM2Y | MEDICARE (01) | OK |
| E73477 | (02) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.