MEDICARE: DR. JEREMIAH A JANSEN 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	2085R0202X	Diagnostic Radiology Physician	C175919	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00964011	OTHER	OK	MEDICARE RAILROAD

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

General Provider Information

NPI Number	:	1780703900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEREMIAH A JANSEN MD

Provider Business Mailing Address
First Line	:	2801 ATLANTIC AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806
Country	:	US
Telephone Number	:	562-933-1550
Fax Number	:	562-933-8088

Provider Business Practice Location Address
First Line	:	3330 NW 56TH
Second Line	:	SUITE 206
City	:	OKLA CITY
State	:	OK
Zip	:	73112-4426
Country	:	US
Telephone Number	:	405-945-4710
Fax Number	:	405-562-9242

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	01/21/2026

Similar Medicare Providers

1508912403 — JUSTIN L MCCOY MD
Practice Location Address:

3330 NW 56TH , SUITE 206
OKLA CITY, OK
73112-4426

Practice Phone: 405-945-4710
Practice Fax: 405-562-9242

1770685182 — DR. WILLIAM EDWARD HOLCOMB DDS
Practice Location Address:

6303 N PORTLAND #209
OKLA CITY, OK
73112

Practice Phone: 405-942-7771
Practice Fax: 405-942-7796

1407939143 — JOY LEA ARMSTRONG LCSW
Practice Location Address:

4900 N PORTLAND , BAPTIST CNSLG ASSOCS SUITE 102
OKLA CITY, OK
73112

Practice Phone: 405-943-4424
Practice Fax: 405-943-2038

1306020482 — WILLIAM P TRUELS MD INC
Practice Location Address:

5701 N PORTLAND , SUITE 120
OKLA CITY, OK
73112-1670

Practice Phone: 405-951-4110
Practice Fax: 405-951-4111

1295773398 — MERIDIAN FOOT CLINIC INC
Practice Location Address:

13301 N MERIDIAN , BLDG 700 SUITE 701
OKLA CITY, OK
73120-9369

Practice Phone: 405-751-6152
Practice Fax: 405-752-5158

1972689149 — G BOLAR GARRISON MD INC
Practice Location Address:

3617 NW 65 ST
OKLA CITY, OK
73116-2005

Practice Phone: 405-842-3402
Practice Fax: 405-879-9879

Directions to “ DR. JEREMIAH A JANSEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.