DR. JESSE DEWAYNE GEREN DO NPI 1679578397

NPI Information

  • NPI: 1679578397
  • Provider Name: DR. JESSE DEWAYNE GEREN, DO
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 4318 W OKMULGEE ST
    MUSKOGEE, OK
    ZIP 74401
  • Phone: (918) 686-0471

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NPI Details

DR. Jesse Dewayne Geren, DO is a family medicine in Muskogee, OK. The provider is 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. DR. Jesse Dewayne Geren, DO NPI is 1679578397. 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:

4318 W OKMULGEE ST
MUSKOGEE, OK
ZIP 74401-648
Phone: (918) 686-0471
Fax: (918) 686-0369

The enumeration date for this NPI number is 6/17/2005 and was last updated on 11/20/2014.

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
1207Q00000XFamily Medicine2144OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1OKAAA2146MEDICARE PINOKLAHOMA
2F51283MEDICARE UPIN
3100087920AMEDICAIDOKLAHOMA

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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