JORDON SEXTON (NPI# 1568063170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568063170 |
| Entity Type | Individual |
| Full Name | JORDON SEXTON |
| Practice Address |
1715 S Baltimore Ave Tulsa OK 74119-4807 |
| Practice Telephone | 9188957680 |
| Practice Fax Number | 9182364646 |
| Mailing Telephone | 9188957680 |
| Mailing Fax Number | 9182364646 |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BIRTH DATE | 02031985 | 01 |
| Street Address |
1715 S BALTIMORE AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74119-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346803681 | Regal Dorn Neuromonitoring LLC | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2019-04-22 |
| 1124632351 | Shayle Finch | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-09-04 |
| 1477167609 | Clint Gerber | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-09-04 |
| 1275143844 | Melvin Jenkins | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1962012534 | John Paul Hernandez Alcala | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1215547898 | Savannah Siegenthaler | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1578173167 | Kylie Dominick | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1093337297 | Kayla Crump | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-05-11 |
| 1699307264 | Innovative Neurophysiologics LLC | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518413848 | Rashawnda Eshelle Broom | Community Health Worker | 1870 S. Boulder, Tulsa, OK 74119 | 2016-08-28 |
| 1740736115 | Kendrea Zellers | Counselor | 1516 South Boston Ave, Tulsa, OK 74119 | 2016-08-26 |
| 1528410297 | Andrea Cheree Walker | Counselor | 1541 Riverside Drive, Tulsa, OK 74119 | 2016-07-06 |
| 1851712459 | Bennett William Mcralip Jr. | Student in an Organized Health Care Education/Training Program | 1729 S. Baltimore Ave, Tulsa, OK 74119 | 2013-12-27 |
| 1932459302 | Isaac James Almaguer | Marriage & Family Therapist | 1516 S. Boston Ave, Suite 1, Tulsa, OK 74119 | 2012-09-13 |
| 1962721266 | Kimberly Dawn See | Counselor | 1516 South Boston Avenue, Tulsa, OK 74119 | 2010-05-26 |
| 1487879136 | G.thang Khan Kham | Counselor | 616 S.boston Suite #400, Tulsa, OK 74119 | 2007-04-16 |
| 1114447117 | Alyssa Orcutt | Counselor | 1870 S Boulder Ave, Tulsa, OK 74119 | 2017-06-21 |
| 1497152615 | Kristine Anne Runfola | Social Worker | 1608 S Elwood Ave, Tulsa, OK 74119 | 2014-12-03 |
| 1124445028 | Lauren Priester | Counselor | 1421 S Boston Ave, Tulsa, OK 74119 | 2014-03-28 |
| Find all providers in zip 74119 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033649363 | Cortex Neuromonitoring LLC | Specialist/Technologist, Other | 7380 S Olympia Ave, Pmb #301, Tulsa, OK 74132-1849 | 2017-06-19 |
| 1972994671 | Parker Professional Reading LLC | Specialist/Technologist, Other | Dept 1137, Tulsa, OK 74182-0001 | 2015-02-17 |
| 1881947596 | Kevin C Farrell | Specialist/Technologist, Other | 4175 S Saint Louis Ave, Tulsa, OK 74105-4013 | 2012-10-18 |
| 1073887808 | Karis Lavon Jackson Sr. | Specialist/Technologist, Other | 218 S 182nd East Ave, Tulsa, OK 74108-2133 | 2012-02-24 |
| 1295063337 | Monitoring Concepts | Specialist/Technologist, Other | 7225 S 85th East Ave Ste 200, Tulsa, OK 74133-3135 | 2009-12-01 |
| 1194322214 | California Professional Reading PC | Specialist/Technologist, Other | Dept 1137, Tulsa, OK 74182-0001 | 2020-10-01 |
| 1124632351 | Shayle Finch | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-09-04 |
| 1477167609 | Clint Gerber | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-09-04 |
| 1275143844 | Melvin Jenkins | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 1962012534 | John Paul Hernandez Alcala | Specialist/Technologist, Other | 1715 S Baltimore Ave, Tulsa, OK 74119-4807 | 2020-08-07 |
| 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.