Dr. Jennifer K. Nelson
Obstetrics & Gynecology

Address: 11200 N Portland Ave, Oklahoma City, OK 73120-5045
Phone: 4059361000

Dr. Jennifer K. Nelson (NPI# 1013939479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1013939479
Entity Type Individual
Full Name Dr. Jennifer K. Nelson
Credential M.D.
Gender Female
Practice Address 11200 N Portland Ave
Oklahoma City
OK 73120-5045
Practice Telephone 4059361000
Practice Fax Number 4059361001
Mailing Address 11200 N Portland Ave
2nd Fl
Oklahoma City
OK 73120-5045
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-07-24
Last Update Date 2011-06-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207V00000X Obstetrics & Gynecology Allopathic & Osteopathic Physicians 15738 OK

Other Provider Identifier

State Identifier Issuer Type Code
OK 100137390B MEDICAID

Other Providers JENNIFER NELSON

NPI Name Taxonomy Address Enumeration
1871031591 Jennifer Nelson Counselor 1200 S York St Ste 3250, Elmhurst, IL 60126-5629 2017-02-01
1396196796 Jennifer Nelson Chiropractor 925a 41st Ave, Santa Cruz, CA 95062-4456 2016-06-27
1346604691 Jennifer Nelson Community/Behavioral Health 515 Fox Run Cir, Colorado Springs, CO 80921-3032 2016-04-12
1245615194 Jennifer Nelson Nurse Practitioner 480 Osborne Rd Ne Ste 220, Fridley, MN 55432-2866 2015-07-21
1912385287 Jennifer Marie Nelson Registered Nurse 121 Sawmill Ln, Butler, PA 16001 2015-05-07
1558606251 Jennifer Nelson Social Worker 3020 Broadmoor Ln Ste 200, Flower Mound, TX 75022-2705 2012-12-06
1760738892 Jennifer Grace Nelson Physical Therapist 1290 North Main St, Suite 3, Webster, SD 57274-0577 2012-07-26
1851658280 Jennifer Elizabeth Nelson Student in an Organized Health Care Education/Training Program 18223 Carson Ct Nw, Elk River, MN 55330-2733 2012-04-23
1629334040 Jennifer Larae Nelson Registered Nurse 8917 W Nantucket St, Wichita, KS 67212-1346 2012-04-10
1497054308 Jennifer Nelson Physical Therapist 301 Ne Tudor, Lee's Summit, MO 64086 2011-03-17

Physician Overview

NPI 1013939479
PAC ID by PECOS 6800842097
Professional Enrollment ID I20050404000367
Full Name Jennifer K Nelson
Organization Legal Name OKLAHOMA CITY GYNECOLOGY AND OBSTETRICS, LLC
Phone Number 4059361000
Gender F
Credential MD
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 1985
Primary Specialty OBSTETRICS/GYNECOLOGY
Group Practice PAC ID 4284684606
Number of Group Practice Members 19
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370199 LAKESIDE WOMEN'S HOSPITAL, A MEMBER OF INTEGRIS HE
370093 OU MEDICAL CENTER
370013 MERCY HOSPITAL OKLAHOMA CITY, INC
370028 INTEGRIS BAPTIST MEDICAL CENTER, INC

Office Location

Street Address 11200 N PORTLAND AVE
City OKLAHOMA CITY
State OK
Zip Code 73120-5045

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639170699 Lakeside Women's Hospital, LLC General Acute Care Hospital 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2005-08-02
1487197232 Cody Blackmon Registered Nurse 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2016-11-28
1467906305 Alisha Wilke Nurse Practitioner 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2016-08-09
1902270358 Melissa Daree Willman Registered Nurse 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2015-11-23
1710365390 Ian Gray Student in an Organized Health Care Education/Training Program 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2015-05-14
1902245988 Alicia J Jackson Massage Therapist 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2013-06-23
1881033967 Sarah Dabney Bendure Registered Nurse 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2013-06-21
1952650400 Regina Lynn Webber Nurse Practitioner 11200 N Portland Ave, 2nd Floor, Oklahoma City, OK 73120-5045 2012-08-30
1972885044 Diagnostic Laboratory of Oklahoma, LLC Clinical Medical Laboratory 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2011-09-15
1720375363 Lacy Parker Obstetrics & Gynecology 11200 N Portland Ave, Oklahoma City, OK 73120-5045 2011-07-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396218152 Summer Smith Therapy Social Worker 11209 N May Ave Ste B, Oklahoma City, OK 73120 2019-01-04
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 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
1881116200 Rebekah Danielle Kabariti Counselor 12000 N. Virgnia Ave, Oklahoma City, OK 73120 2017-07-07
1568999498 Tabitha Lynn Arias Dentist 11900 N Pennsylvania Ave Ste A1, Oklahoma City, OK 73120 2017-05-23
1861928905 The Laughing Shark, Inc. Counselor 11212 N May Ave Ste 107, Oklahoma City, OK 73120 2017-05-11
1316482284 Us Neurologic, Pllc Specialist/Technologist, Other 3000 W. Memorial Rd., Ste 123-330, Oklahoma City, OK 73120 2016-12-30
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Taxonomy Information

Taxonomy Code 207V00000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology

Taxonomy Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801380159 Crysten Cheatwood Do, PC Obstetrics & Gynecology 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 2018-06-20
1619470184 Linzi L Stewart, D.o., P.l.l.c. Obstetrics & Gynecology 10400 S Western Ave Ste 7, Oklahoma City, OK 73139 2018-03-12
1568917037 Chris A Lane Do Inc PC Obstetrics & Gynecology 4505 Blackberry Run, Oklahoma City, OK 73112-6157 2016-08-24
1609280643 Amanda Maxedon Hamilton Obstetrics & Gynecology 3435 Nw 56th St Ste 1010, Oklahoma City, OK 73112 2014-06-18
1710320627 Hugh Christopher Gardner Nadeau Obstetrics & Gynecology 800 Stanton L Young Blvd # 2475, Oklahoma City, OK 73104-5018 2013-04-10
1356602080 Marta Maxted Obstetrics & Gynecology 800 Sl Young Blvd, Aat 2475, Oklahoma City, OK 73104 2012-05-29
1104190479 Philip J Maguire Obstetrics & Gynecology 1124 Nw 50th St, Oklahoma City, OK 73118-4402 2012-03-02
1740558212 Joseph Nmi Harroz Obstetrics & Gynecology 12625 Downsview Ln, Oklahoma City, OK 73142-5180 2011-12-12
1902186257 Dr Joe P. Merritt, Md, Inc. Obstetrics & Gynecology 5300 N Grand Blvd Ste 302, Oklahoma City, OK 73112-5517 2011-08-18
1669788006 Sushila Arya Obstetrics & Gynecology 800 Stanton L Young Blvd Ste 2000, Oklahoma City, OK 73104 2010-08-24
Find all providers in OKLAHOMA CITY

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City OKLAHOMA CITY
Zip Code 73120

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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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