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JERI ELLIS MD MPH PC
NPI 1043361934
Family Medicine in Oklahoma City, OK

Active since January 16, 2007
5835 S PENNSYLVANIA AVE, OKLAHOMA CITY, OK 73119(405) 816-3311(405) 634-7577 Get Directions Write a Review

NPPES record last updated: May 2, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeri Ellis Md Mph Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERI ELLIS MD MPH PC (NPI 1043361934) is a healthcare organization registered as a family medicine in Oklahoma City, Oklahoma and active in the NPI registry since January 2007. The organization lists Jeri Ellis, Owner, as its authorized official.

NPPES Registry Identity

NPI1043361934
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJERI ELLIS MD MPH PC
Location Address5835 S PENNSYLVANIA AVEOklahoma City, OK 73119-7001
Mailing Address5835 S Pennsylvania AveOklahoma City, OK 73119-7001 · (405) 816-3311 · Fax (405) 634-7577
Phone(405) 816-3311
Fax(405) 634-7577
Organization SubpartNo
Authorized OfficialJeri EllisOwner · (405) 604-9595
Enumeration DateJanuary 16, 2007
Last NPPES UpdateMay 2, 2014
✔ NPI 1043361934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 20048
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5835 S PENNSYLVANIA AVE, Oklahoma City, OK 73119
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Other Identifiers 5

Medicare UPINI16371OK
Medicaid200049610AOK
Other569535528001OK · Bcbs
Medicare PIN400522463OK
Medicaid200075590BOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENNIS ROBERTS MD
Family Medicine
5835 S PENNSYLVANIA AVE
OKLAHOMA CITY, OK 73119
Oklahoma County (405) 604-9595

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeri Ellis MD Mph PC's NPI number?

The NPI number for Jeri Ellis MD Mph PC is 1043361934. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is Jeri Ellis MD Mph PC located?

Jeri Ellis MD Mph PC is located at 5835 S Pennsylvania Ave, Oklahoma City, OK 73119. The listed phone number is (405) 816-3311.

What is Jeri Ellis MD Mph PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jeri Ellis MD Mph PC was last updated on May 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.