MRS. SAMARA JA'NEL JACK (NPI# 1245550433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245550433 |
| Entity Type | Individual |
| Full Name | MRS. SAMARA JA'NEL JACK |
| Other Name | MS. SAMARA JA'NEL RAMSEY |
| Credential | PA-C |
| Practice Address |
7858 S Olympia Ave Tulsa OK 74132-1857 |
| Mailing Address |
1705 E 19th St Ste 302 Tulsa OK 74104-5410 |
| Practice Telephone | 9189869200 |
| Practice Fax Number | 9189869205 |
| Mailing Telephone | 9187487585 |
| Mailing Fax Number | 9184036352 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1919 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1705 E 19th St Ste 302, Tulsa, OK 741045410 | 9187487585 | 9184036352 |
| 1717 S Utica Ave Ste A, Tulsa, OK 741045346 | 9187481300 |
| Street Address |
7858 S OLYMPIA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74132-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306843248 | Paul Pisarik | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132 | 2005-07-07 |
| 1669099792 | Osu Center for Health Sciences | Clinic/Center | 7858 S Olympia Ave, Tulsa, OK 74132-1857 | 2020-07-06 |
| 1659864379 | Gina Matlock | Nurse Practitioner | 7858 S Olympia Ave, Tulsa, OK 74132 | 2018-06-07 |
| 1417463969 | Matthew David Vanvalin | Physician Assistant | 7858 S Olympia Ave, Tulsa, OK 74132-1857 | 2017-12-20 |
| 1275072399 | Amanda Sue Six | Physician Assistant | 7858 S Olympia Ave, Tulsa, OK 74132 | 2017-02-22 |
| 1043757230 | Hayley Fort | Physician Assistant | 7858 S Olympia Ave, Tulsa, OK 74132-1857 | 2017-01-25 |
| 1649646373 | Barbara Jean Landreth | Nurse Practitioner | 7858 S Olympia Ave, Tulsa, OK 74132-1857 | 2015-08-17 |
| 1437492949 | Andrew Louis Kelly | Family Medicine | 7858 S Olympia Ave, Tulsa, OK 74132-1857 | 2013-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407412992 | Dental Depot Southern Hills 71st & Jackson | Clinic/Center | 710 W. 74th Street, Tulsa, OK 74132 | 2019-05-10 |
| 1265971717 | Tulsa Micro Hospital, LLC | General Acute Care Hospital | 717 West 71st Street, Tulsa, OK 74132 | 2017-02-16 |
| 1467715300 | Mednow Urgent Care Center LLC | Emergency Medicine | 7127 S Olympia, Tulsa, OK 74132 | 2012-06-15 |
| 1801153754 | Jeffrey B Hill | Family Medicine | 7858 South Olympia Avenue West, Tulsa, OK 74132 | 2012-04-17 |
| 1871733519 | Mjr Enterprises LLC | Family Medicine | 3800 W. 71st, Inverness Village, Tulsa, OK 74132 | 2009-02-20 |
| 1356331052 | Trisza L Ray | Family Medicine | 7858 South Olympia Avenue, Tulsa, OK 74132 | 2005-10-24 |
| 1245229657 | Bruce E Hudkins | Otolaryngology | 6802 S Olympia Ave West, Ste 200, Tulsa, OK 74132 | 2005-10-18 |
| 1235752361 | William Richey | Pharmacist | 6901 S Olympia Ave, Tulsa, OK 74132 | 2020-05-23 |
| 1508424755 | Tulsa Ep, Pllc | Emergency Medicine | 717 W. 71st Street, Tulsa, OK 74132 | 2019-06-03 |
| 1487172623 | Tulsa Micro Hospital, LLC | Hospitalist | 717 West 71st Street, Tulsa, OK 74132 | 2017-09-08 |
| Find all providers in zip 74132 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720620487 | Taehee Strauss | Physician Assistant | 5229 S Harvard Ave Apt H, Tulsa, OK 74135-3551 | 2019-10-15 |
| 1871134163 | Claire Anne Kifer | Physician Assistant | 155 E 29th Pl, Tulsa, OK 74114-5201 | 2019-10-08 |
| 1033750328 | Jazmine Denise Nicole Manns | Physician Assistant | 9132 E 37th Ct, Tulsa, OK 74145-3415 | 2019-10-08 |
| 1295376523 | Emily Montana Bergeron | Physician Assistant | 1417 W 78th St Apt 1213, Tulsa, OK 74132-4633 | 2019-10-08 |
| 1295376325 | Reagan Hahn | Physician Assistant | 7746 Riverside Pkwy Apt 203, Tulsa, OK 74136-7677 | 2019-09-30 |
| 1881245082 | Miranda Hamilton | Physician Assistant | 3726 E 43rd St, Tulsa, OK 74135-2743 | 2019-09-27 |
| 1205487493 | Christopher Thibeault | Physician Assistant | 10326 S Oswego Ave, Tulsa, OK 74137 | 2019-09-27 |
| 1831740018 | Savannah Payne | Physician Assistant | 7734 Riverside Pkwy Apt 207f, Tulsa, OK 74136-7371 | 2019-09-27 |
| 1366093759 | Garrett Blubaugh | Physician Assistant | 8307 E 60th St Apt 2127, Tulsa, OK 74145-5014 | 2019-09-26 |
| 1649821547 | Madison Snow | Physician Assistant | 7734 Riverside Pkwy # 207, Tulsa, OK 74136-7670 | 2019-09-23 |
| Find all providers in TULSA | ||||
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| 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.