DR. JASON JASPER BALLEW MD NPI 1235146036

NPI Information

  • NPI: 1235146036
  • Provider Name: DR. JASON JASPER BALLEW, MD
  • Classification: Preventive Medicine - 2083A0300X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1400 E DOWNING ST
    TAHLEQUAH, OK
    ZIP 74464
  • Phone: (918) 456-0641

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NPI Details

DR. Jason Jasper Ballew, MD is an addiction medicine preventive medicine in Tahlequah, OK. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. DR. Jason Jasper Ballew, MD NPI is 1235146036. 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:

1400 E DOWNING ST
TAHLEQUAH, OK
ZIP 74464-324
Phone: (918) 456-0641

The NPI 1235146036 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 8/2/2006 and was last updated on 6/23/2021.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine25130OKLAHOMANo
22083A0300XPreventive MedicineAddiction Medicine25130OKLAHOMAYes

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: 11/21/2025

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