Jason Jasper Ballew in Tahlequah - Addiction Medicine
Jason Jasper Ballew - NPI 1235146036
Jason Jasper Ballew is a Addiction Medicine in Tahlequah, Oklahoma. Jason Jasper Ballew practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Jason Jasper Ballew is 1235146036. The last update date is 2021-06-23.
Jason Jasper Ballew's current location address is 1400 E Downing St, Tahlequah, Oklahoma. You can contact this provider via phone number 9184560641. The mailing address for Jason Jasper Ballew is 1400 E Downing St, Tahlequah, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Jasper Ballew |
|---|---|
| Address | 1400 E Downing St, Tahlequah, Oklahoma |
| Phone Number | 9184560641 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1235146036 |
|---|---|
| Provider Enumeration Date | 2006-08-02 |
| Last Updated Date | 2021-06-23 |
Provider Mailing Address Detail
| Address | 1400 E Downing St |
|---|---|
| City | Tahlequah |
| State | Oklahoma (OK) |
| Post Code | 744643324 |
| Phone Number | 9184560641 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Medicine |
|---|---|
| Taxonomy | 2083A0300X |
| Licence No | 25130 |
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Definition: A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. |
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What is the unique identification code assigned to Jason Jasper Ballew by the Centers for Medicare & Medicaid Services?
The Jason Jasper Ballew has been issued the NPI (National Provider Identifier) 1235146036. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Jason Jasper Ballew is physically located?
The Jason Jasper Ballew is physically situated at the following address: 1400 E Downing St, Tahlequah, OK, 744643324.
What is Jason Jasper Ballew's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jason Jasper Ballew is Addiction Medicine, and the taxonomy code that classifies this field of practice is 2083A0300X.
When was the Jason Jasper Ballew's 1235146036 issued?
The Jason Jasper Ballew's 1235146036 was issued on 2006-08-02.
When was the Jason Jasper Ballew's information last updated?
The Jason Jasper Ballew's information was last updated on 2021-06-23.