Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JASON JASPER BALLEW, MD
ActiveDR. JASON JASPER BALLEW, MD is a 2083A0300X healthcare provider located in TAHLEQUAH, Oklahoma. NPI 1235146036 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · TAHLEQUAH, OK
Registration Details
- NPI Number
- 1235146036
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2006 (20.023101436953 yrs)
- Last Updated
- Jun 23, 2021
- Licenses
-
25130 (OK)25130 (OK)
Practice Information
- Address
-
1400 E DOWNING STTAHLEQUAH, OK, 744643324Browse OK providers · Browse ZIP 74464
- Phone
- 9184560641
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- 2083A0300X
Other 2083A0300X Providers in TAHLEQUAH, OK
| Name | Credential | NPI |
|---|---|---|
| JENNIFER MATHIS | MD | 1548304892 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.