DR. JACK E METCALF (NPI# 1619962297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619962297 |
| Entity Type | Individual |
| Full Name | DR. JACK E METCALF |
| Credential | M.D. |
| Practice Address |
4140 W Memorial Rd Suite 618 Oklahoma City OK 73120-8366 |
| Practice Telephone | 4057517682 |
| Practice Fax Number | 4057517994 |
| Mailing Telephone | 4057517682 |
| Mailing Fax Number | 4057517994 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 9732 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
4140 W MEMORIAL RD SUITE 618 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832607 | Christian Ellis | Neuromusculoskeletal Medicine & OMM | 4140 W Memorial Rd, Ste. 621, Oklahoma City, OK 73120-8366 | 2005-06-22 |
| 1265989982 | Stacey Amanda Lytle | Nurse Practitioner | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2016-09-10 |
| 1174983670 | Homer Clark Hyde Md, PC | Urology | 4140 W Memorial Rd, Suite 422, Oklahoma City, OK 73120-8366 | 2016-02-26 |
| 1508240516 | Nicole Greiner | Nurse Practitioner | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2015-07-20 |
| 1801219225 | Steven D. Meltzner, Dmd, Pllc | Dentist | 4140 W Memorial Rd, Suite 201, Oklahoma City, OK 73120-8366 | 2014-01-22 |
| 1255673349 | Kathryn Marie Feisal | Physician Assistant | 4140 W Memorial Rd, Suite 208, Oklahoma City, OK 73120-8366 | 2013-03-26 |
| 1609137330 | Wesley Vaughan | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2012-05-29 |
| 1003182718 | Imari Elena Moore | Obstetrics & Gynecology | 4140 W Memorial Rd, Suite 215, Oklahoma City, OK 73120-8366 | 2012-03-27 |
| 1750675971 | Amanda Titus | Internal Medicine | 4140 W Memorial Rd, Suite 518, Oklahoma City, OK 73120-8366 | 2011-06-06 |
| 1396064176 | Vincent Olorunnisomo | Urology | 4140 W Memorial Rd, Suite 208, Oklahoma City, OK 73120-8366 | 2010-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871056671 | Perry Santos, M.d., P.C. | Otolaryngology | 3435 Nw 56th St, Bldg A, Suite 412, Oklahoma City, OK 73112-4448 | 2019-04-09 |
| 1598292419 | Vikram Gopal Ramjee | Otolaryngology | 800 Stanton L Young Blvd Ste 1464, Oklahoma City, OK 73104-5018 | 2017-05-23 |
| 1649657263 | Lindsey B Stull | Otolaryngology | 800 Stanton L Young Blvd # 1464, Oklahoma City, OK 73104-5018 | 2015-05-04 |
| 1457768376 | Keren Bartal | Otolaryngology | G. Rainey Williams Pavilion 1290, Oklahoma City, OK 73126 | 2014-07-14 |
| 1518233758 | Edward T El Rassi | Otolaryngology | 800 Stanton L Young Blvd Ste 1400, Oklahoma City, OK 73104 | 2012-03-30 |
| 1386744761 | Jerry D Renfroe | Otolaryngology | 3435 Nw 56, #711a, Oklahoma City, OK 73112 | 2006-09-25 |
| 1023032612 | Oklahoma City Ear, Nose & Throat Clinic, PC | Otolaryngology | 535 Nw 9th Street, Suite 300, Oklahoma City, OK 73102 | 2006-07-27 |
| 1063463669 | Richard D Orgill | Otolaryngology | 10958 N May Ave, Oklahoma City, OK 73120-6202 | 2006-05-16 |
| 1700841145 | Jason Brandt Sigmon | Otolaryngology | 10960 N May Ave, Oklahoma City, OK 73120-6202 | 2006-04-19 |
| 1538121843 | German Paul Digoy | Otolaryngology | 9900 Broadway Ext Ste 200, Oklahoma City, OK 73114-6323 | 2006-04-03 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
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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.