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JESUS E MEDINA MD NPI 1033187513


NPI Information

NPI: 1033187513
Provider Name: JESUS E MEDINA, MD
Classification: Otolaryngology - 207YX0007X
Entity Type: Individual

Specialization: Plastic Surgery within the Head & Neck

PECOS Registration: Yes

Address:
825 NE 10TH ST # 4200
OKLAHOMA CITY, OK
ZIP 73104
Phone: (405) 271-7559
Get Directions

Jesus E Medina, MD is a plastic surgery within the head and neck otolaryngology in Oklahoma City, OK. The provider is an otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them. Jesus E Medina, MD NPI is 1033187513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

825 NE 10TH ST # 4200
OKLAHOMA CITY, OK
ZIP 73104-417
Phone: (405) 271-7559

The NPI 1033187513 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/9/2006 and was last updated on 4/20/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Y00000XOtolaryngology14989OKLAHOMANo
2207YX0007XOtolaryngologyPlastic Surgery within the Head & Neck14989OKLAHOMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.