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DR. JACK STEPHEN ALDRIDGE D.O.
NPI 1700878378
Family Medicine in Coweta, OK

Active since August 18, 2005
30011 E STATE HIGHWAY 51, COWETA, OK 74429(918) 486-2161(918) 486-3135 Get Directions Write a Review

NPPES record last updated: July 31, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Stephen Aldridge D.o. NPPES

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

DR. JACK STEPHEN ALDRIDGE D.O. (NPI 1700878378) is an individual family medicine provider in Coweta, Oklahoma, licensed in Oklahoma (OK2679) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1700878378
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACK STEPHEN ALDRIDGECredential: D.O.
Location Address30011 E STATE HIGHWAY 51Coweta, OK 74429-7681
Mailing Address6600 S Yale Ave, Suite 1400Tulsa, OK 74136-3347 · (918) 488-6001 · Fax (918) 488-6010
Phone(918) 486-2161
Fax(918) 486-3135
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateJuly 31, 2015
✔ NPI 1700878378 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 · OK2679
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.
30011 E STATE HIGHWAY 51, Coweta, OK 74429
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Other Identifiers 4

Other500522075OK · Medicare Group Pin
Medicaid100099700AOK
Medicare PIN246800301OK
Medicare UPINE07687OK

Other Providers at the Same Location NPPES 8

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

ASHLEY ANNE PETERSEN M.D.
Pediatrics
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
KIMBERLY DAWN HARRISON DO
Pediatrics
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
OSU CENTER FOR HEALTH SCIENCES
Clinic/Center
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 561-8306
MRS. KATHLEEN MARY MCGOVERN DO
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
RONNIE L CARR D.O.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
DR. KELLIE DAWN VANTUYL D.O.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
BOERJE A. AXELSSON M.D.
Family Medicine
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161
EMILY ANN BOLENDER MD
Pediatrics
30011 E STATE HIGHWAY 51
COWETA, OK 74429
Wagoner County (918) 486-2161

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 Jack Aldridge's NPI number?

The NPI number for Jack Aldridge is 1700878378. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Jack Aldridge located?

Jack Aldridge practices at 30011 E State Highway 51, Coweta, OK 74429. The listed phone number is (918) 486-2161.

What is Jack Aldridge'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 Jack Aldridge was last updated on July 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.