MRS. JAZMIN MATLOCK BAKER


Address: 100 S Bliss Ave, Tahlequah, OK 74464-2512
Phone: 9184587105

MRS. JAZMIN MATLOCK BAKER (NPI# 1124312004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124312004
Entity Type Individual
Full Name MRS. JAZMIN MATLOCK BAKER
Credential D.O.
Practice Address 100 S Bliss Ave
Tahlequah
OK 74464-2512
Mailing Address 2507 Cambridge Cir
Tahlequah
OK 74464-4689
Practice Telephone 9184587105
Mailing Telephone 9186050247
Enumeration Date 2011-06-08
Last Update Date 2016-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
3150 OK Allopathic & Osteopathic Physicians

Office Location

Street Address 100 S BLISS AVE
City TAHLEQUAH
State OK
Zip Code 74464-2512

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194727198 Owen Buck Gilmore Family Medicine 100 S Bliss Ave, Tahlequah, OK 74464-2512 2005-08-10
1669085049 Catherine Bailey Mcguffey Physician Assistant 100 S Bliss Ave, Tahlequah, OK 74464-2512 2020-08-26
1679183404 Kathryn Nicole Martin Advanced Practice Midwife 100 S Bliss Ave, Tahlequah, OK 74464-2512 2020-08-06
1548882103 Stacy Lynn Rutherford Registered Nurse 100 S Bliss Ave, Tahlequah, OK 74464-2512 2020-05-17
1033739354 Kelsey Kitchens Audiologist 100 S Bliss Ave, Tahlequah, OK 74464-2512 2020-04-17
1952930257 Athena Chatzigiannidis Student in an Organized Health Care Education/Training Program 100 S Bliss Ave, Tahlequah, OK 74464-2512 2020-04-07
1942839394 Sean Crawford Student in an Organized Health Care Education/Training Program 100 S Bliss Ave, Tahlequah, OK 74464-2512 2020-04-07
1912544735 Henri Jade Casey Dentist 100 S Bliss Ave, Tahlequah, OK 74464-2512 2019-12-01
1831743624 Sonny Jefferson James Downing Pharmacist 100 S Bliss Ave, Tahlequah, OK 74464-2512 2019-07-30
1275190688 Sam Blake Campbell Dentist 100 S Bliss Ave, Tahlequah, OK 74464-2512 2019-05-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184253403 Kendall Harris Student in an Organized Health Care Education/Training Program 100 Bliss Ave, Tahlequah, OK 74464 2020-04-07
1528609302 Norma Brightly Technician 103 Sequoyah, Tahlequah, OK 74464 2019-10-03
1073175832 Jody Lynn Dallis Case Manager/Care Coordinator Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 2019-07-02
1184287849 Perry Jake Proctor Student in an Organized Health Care Education/Training Program 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 2019-04-18
1336657279 Sidney Sheyenne Kimble Case Manager/Care Coordinator 1429 Jack Brown Lane, Tahlequah, OK 74464 2018-01-12
1891225686 Nichols Bradley Alberty Orthotist 1294 East Downing, Suite 3, Tahlequah, OK 74464 2017-06-14
1922549690 Krystal Easter Ms, Lpc Counselor 2201 Oakridge Dr, Tahlequah, OK 74464 2017-03-15
1144777319 Northeastern Oklahoma Community Health Centers, Inc. Clinic/Center 529 N. Oak St., Tahlequah, OK 74464 2016-09-06
1548713456 Clement Isioma Nwadozi Optometrist 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 2016-07-27
1033532635 Wesley Gragg Specialist/Technologist 603 North Grand Avenue, Tahlequah, OK 74464 2014-02-03
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Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770574543 William Trousdale Obstetrics & Gynecology 100 S Bliss Ave, Tahlequah, OK 74464-2512 2005-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710349352 Memorial Hospital of Texas County Obstetrics & Gynecology 401 N Polk Ave, Keyes, OK 73947 2016-03-23
1487040101 Alyssa Mathilde Ohs Obstetrics & Gynecology 3400 W Tecumseh Rd Ste 205, Norman, OK 73072-1811 2015-04-09
1356339360 Bryan Treacy Obstetrics & Gynecology 1035 Sw 19th St, Suite B, Moore, OK 73160-2883 2005-10-12
1760030027 Phebe Joy Sistoso Obstetrics & Gynecology 4800 W San Antonio St, Broken Arrow, OK 74012-6127 2019-08-29
1982943536 Memorial Hospital of Texas County Authority Obstetrics & Gynecology 421 Medical Dr, Guymon, OK 73942-3640 2013-02-01
1396082327 Daran L. Parham, M.d., LLC Obstetrics & Gynecology 1725 E 19th St Ste 401, Tulsa, OK 74104-5409 2013-01-10
1689946360 Marsha Nahra, Md, P.C. Obstetrics & Gynecology 6465 S Yale Ave, Ste 515, Tulsa, OK 74136-7823 2012-01-27
1003107863 Marsha K. Howerton, Md, PC Obstetrics & Gynecology 6465 S Yale Ave, Suite 310, Tulsa, OK 74136-7823 2011-04-28
1881996155 John R. Dosser, M.d., Inc. A Professional Corporation Obstetrics & Gynecology 3617 Nw 58th St, #200, Oklahoma City, OK 73112-4487 2010-11-18
1285951186 Ryan Daniel Gholson Obstetrics & Gynecology 717 S Houston Ave Ste 200, Tulsa, OK 74127-9005 2010-05-01
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Competitor

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City TAHLEQUAH
Zip Code 74464

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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