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1023019304

NPI Code Detail

MEDICARE: RODNEY JARRETT BEASLEY MD

MEDICARE: RODNEY JARRETT BEASLEY 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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	E-3999	AR
2	208M00000X	Hospitalist Physician	309292	LA
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	28270	OK
4	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	68486	WI
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	38075	TN
6	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	04-31282	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	309292	OTHER	LA	STATE LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023019304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RODNEY JARRETT BEASLEY MD

Provider Business Mailing Address
First Line	:	6600 S YALE AVE STE 1400
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-3331
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6161 S YALE AVE
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74136-1902
Country	:	US
Telephone Number	:	918-502-1900
Fax Number	:	918-494-6303

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

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	06/01/2026

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Directions to “ RODNEY JARRETT BEASLEY MD” Practice Location

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