JEFF E NORTHCUTT MD PLLC
NPI 1154475887
Specialist in Ponca City, OK

Active since January 22, 2007
1908 N 14TH ST STE 206, PONCA CITY, OK 74601(580) 762-8045(580) 762-2798 Get Directions Write a Review

NPPES record last updated: June 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeff E Northcutt Md Pllc NPPES

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

JEFF E NORTHCUTT MD PLLC (NPI 1154475887) is a healthcare organization registered as a specialist in Ponca City, Oklahoma and active in the NPI registry since January 2007. The organization lists Jeff E Northcutt, Owner, as its authorized official.

NPPES Registry Identity

NPI1154475887
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameJEFF E NORTHCUTT MD PLLC
Location Address1908 N 14TH ST STE 206Ponca City, OK 74601-2039
Mailing Address1908 N 14th St Ste 206Ponca City, OK 74601-2039 · (580) 762-8045 · Fax (580) 762-2798
Fax(580) 762-2798
Organization SubpartNo
Authorized OfficialJeff E NorthcuttOwner · (580) 762-8045
Enumeration DateJanuary 22, 2007
Last NPPES UpdateJune 7, 2011
NPI 1154475887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in OK · 22394
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1908 N 14TH ST STE 206, Ponca City, OK 74601

Other Identifiers 2

Medicare ID-Type Unspecified300522184OK · Group Number
Medicaid200058550AOK

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.

Nurse Practitioner (Family)
1908 N 14TH ST STE 206
PONCA CITY, OK 74601

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 Jeff E Northcutt MD PLLC's NPI number?

The NPI number for Jeff E Northcutt MD PLLC is 1154475887. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Jeff E Northcutt MD PLLC located?

Jeff E Northcutt MD PLLC is located at 1908 N 14th St Ste 206, Ponca City, OK 74601. The listed phone number is (580) 762-8045.

What is Jeff E Northcutt MD PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jeff E Northcutt MD PLLC was last updated on June 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.