DR. JEFFERY RANDALL PRUITT


Address: One S Bryant Ave, Edmond, OK 73034-6309
Phone: 4053595370

DR. JEFFERY RANDALL PRUITT (NPI# 1497803860) 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) 1497803860
Entity Type Individual
Full Name DR. JEFFERY RANDALL PRUITT
Credential MD
Practice Address One S Bryant Ave
Edmond
OK 73034-6309
Mailing Address 1 S Bryant Ave
Edmond
OK 73034-6309
Practice Telephone 4053595370
Practice Fax Number 4053595357
Mailing Telephone 4053595370
Mailing Fax Number 4053595357
Enumeration Date 2007-01-08
Last Update Date 2015-06-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 23454 OK Allopathic & Osteopathic Physicians
Y 208M00000X Hospitalist 23454 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 200108630A 05

Office Location

Street Address ONE S BRYANT AVE
City EDMOND
State OK
Zip Code 73034-6309

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306447172 Saints Medical Group, LLC Family Medicine 2749 Progressive Dr, Suite B, Edmond, OK 73034 2020-11-06
1194339861 Susan Haesook Kim Pharmacist 1400 2nd St, Edmod, Edmond, OK 73034 2020-09-01
1821616038 Aaron Michael Gowens Specialist/Technologist 015 Wantland Hall 100 University Dr., Edmond, OK 73034 2020-07-14
1043834849 Paddington Place Lcc Intermediate Care Facility, Mental Illness 3225 French Park Drive, Suite 6, Edmond, OK 73034 2020-06-08
1083254932 Purpose Healthcare Inc Psychologist 301 South Blvd, Suite 117, Edmond, OK 73034 2020-01-08
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
1427555713 Sara Nicole Smith Specialist/Technologist 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 2018-04-12
1619475084 Carissa Leigh Brackelsberg Chiropractor 3709 E 2nd St, Edmond, OK 73034 2018-01-31
1760996177 Laurel Michelle Glendening Physical Therapist 3531 River Wood Lane, Edmond, OK 73034 2017-11-21
1134643380 Keith S Quinn Dentist 3008 Peaceful Ln, Edmond, OK 73034 2017-07-31
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1780194225 Western Hospitalist Pllc Hospitalist 2808 Lamond Hill Ave, Edmond, OK 73034-6978 2017-10-11
1225575525 Absolute Best Care Pllc Hospitalist 2133 E 2nd St Apt 37071920, Edmond, OK 73034-6362 2017-01-24
1497123046 Gracehealth, Pllc Hospitalist 18213 Bodegon Rd, Edmond, OK 73012-5905 2015-09-11
1588042287 Nitin Sawheny, M.d., P.l.l.c Hospitalist 2074 Bella Sera Dr, Edmond, OK 73034-2525 2015-05-13
1326477167 Nyame LLC Hospitalist 2625 W Sierra Springs Dr, Edmond, OK 73012-9072 2013-11-02
1306278593 Rebecca Faulkner Md Pllc Hospitalist 15804 Sonador Dr, Edmond, OK 73013-5819 2013-07-30
1760702153 Premier Hospitalists PC Hospitalist 13401 W Simmons Rd, Edmond, OK 73025-8565 2010-06-08
1598085359 Inpatient Care Physician Services LLC Hospitalist 1409 Territories Dr, Edmond, OK 73034-2650 2010-06-03
1528694676 Taru Pllc Hospitalist 4801 Integris Pkwy, Edmond, OK 73034-8864 2020-03-20
1538505342 Questcare Hospitalists Oklahoma LLC Hospitalist 1 S Bryant Ave, Edmond, OK 73034-6309 2013-05-20
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Competitor

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City EDMOND
Zip Code 73034

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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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