NPI 1235146036
Jason Jasper Ballew, MD
Practice location
- Address
- 1400 E Downing St, Tahlequah, OK 74464-3324
- Phone
- (918) 456-0641
- Mailing address
- 3829 S Madison Ave, Tulsa, OK 74105-3062
Registered specialties (2)
Addiction Medicine (Preventive Medicine) Physician
Primary
Emergency Medicine Physician
Registry record
- NPI
- 1235146036
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 Aug 2006
- Record last updated
- 27 May 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.