| Jm Healthcare Pllc | |
|
700 Nw 7th St Oklahoma City OK 73102-1212 | |
| (405) 830-0792 | |
| Not Available |
| Full Name | Jm Healthcare Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 700 Nw 7th St, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jiss Mathew (OWER) |
| Authorized Official Contact | 4058300792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jm Healthcare Pllc 4717 Clipper Xing Edmond OK 73013-9006 Ph: (405) 830-0792 | Jm Healthcare Pllc 700 Nw 7th St Oklahoma City OK 73102-1212 Ph: (405) 830-0792 |
| NPI Number | 1861144636 |
|---|---|
| Provider Enumeration Date | 01/24/2022 |
| Last Update Date | 01/24/2022 |
| Medicare PECOS PAC ID | 7719372986 |
|---|---|
| Medicare Enrollment ID | O20220325000421 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861144636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jiss Mathew |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1508150715 PECOS PAC ID: 4587881131 Enrollment ID: I20140806000213 |
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