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NPI Code Detail

MEDICARE: JILL N SPREITER

MEDICARE: JILL N SPREITER
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
1363AM0700XMedical Physician Assistant

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21586OTHEROKLICENSE
315-01453OTHERKSKSBHA

General Provider Information

NPI Number : 1477615060
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL N SPREITER
Provider Business Mailing Address
First Line : 2488 E 81ST ST STE 290
Second Line :
City : TULSA
State : OK
Zip : 74137-4299
Country : US
Telephone Number : 918-927-3226
Fax Number : 918-927-3193
Provider Business Practice Location Address
First Line : 1071 W BLUE STARR DR STE 105
Second Line :
City : CLAREMORE
State : OK
Zip : 74017-2869
Country : US
Telephone Number : 918-341-0600
Fax Number : 918-927-3201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/14/2006
Last Update Date : 09/14/2025

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Directions to “ JILL N SPREITER ” Practice Location

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