Dr. Jeffery Randall Pruitt
Hospitalist

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 Identifier (NPI) 1497803860
Entity Type Individual
Full Name Dr. Jeffery Randall Pruitt
Credential MD
Gender Male
Practice Address One S Bryant Ave
Edmond
OK 73034-6309
Practice Telephone 4053595370
Practice Fax Number 4053595357
Mailing Address 1 S Bryant Ave
Edmond
OK 73034-6309
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-01-08
Last Update Date 2015-06-29

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 207R00000X Internal Medicine Allopathic & Osteopathic Physicians 23454 OK
Yes 208M00000X Hospitalist Allopathic & Osteopathic Physicians 23454 OK

Other Provider Identifier

State Identifier Issuer Type Code
OK 200108630A MEDICAID

Physician Overview

NPI 1497803860
PAC ID by PECOS 2668579277
Professional Enrollment ID I20070516000143
Full Name Jeffery R Pruitt
Organization Legal Name MERCY CLINIC OKLAHOMA COMMUNITIES
Phone Number 4057551515
Gender M
Credential MD
Medical School UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year 2003
Primary Specialty INTERNAL MEDICINE
Secondary Specialties HOSPITALIST
Group Practice PAC ID 1153468921
Number of Group Practice Members 417
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
370013 MERCY HOSPITAL OKLAHOMA CITY, INC

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
1740773662 Healthcare Express, LLP Family Medicine 2300 E 2nd St, Edmond, OK 73034 2018-06-14
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
1255852414 Lacey Marie Hill Nurse Practitioner 1520 S. Bryant Ave, Edmond, OK 73034 2017-06-28
1134659717 Terrie Kay Brumley Peer Specialist 7402 Oak Drive, Edmond, OK 73034 2017-06-15
1265988463 Desmond Nkefua Counselor 920 South Boulevard Suit 103, Edmond, OK 73034 2016-08-28
1376993097 Megan Marie Nash Social Worker 307 E. Danforth Raod, Suite 124, Edmond, OK 73034 2016-06-14
1073984621 Sawan Surgical Aesthetics Pllc Plastic Surgery 209 Lilac Drive, # 200, Edmond, OK 73034 2015-10-08
1396124657 Lindsey Foster Speech-Language Pathologist 204 E Hurd St, Edmond, OK 73034 2015-05-20
1336536051 Rotasha Lewis Counselor 1919 E Second St, Edmond, OK 73034 2015-04-21
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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 In Patient Care Physician Services Hospitalist 5900 Megans Way, Edmond, OK 73034-7616 2010-06-03
1538505342 Questcare Hospitalists Oklahoma LLC Hospitalist 1 S Bryant Ave, Edmond, OK 73034-6309 2013-05-20
1629348776 Hj Patient Services LLC Hospitalist 4801 Integris Pkwy, Edmond, OK 73034-8864 2012-01-06
Find all providers in EDMOND

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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