MEDICARE: OSCAR DEAN JAMES MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0000037356	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629019161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OSCAR DEAN JAMES MD

Provider Business Mailing Address
First Line	:	1701 VICTORIA DR
Second Line	:
City	:	EDMOND
State	:	OK
Zip	:	73003-3860
Country	:	US
Telephone Number	:	405-551-0563
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 NE 38TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73121-6400
Country	:	US
Telephone Number	:	405-551-0563
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	10/10/2018

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