Provider Demographics
NPI:1235150723
Name:PICKENS, JAMES ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ALLAN
Last Name:PICKENS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2108 INLAND HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73013-8636
Mailing Address - Country:US
Mailing Address - Phone:405-348-8092
Mailing Address - Fax:405-949-6977
Practice Address - Street 1:3300 NW EXPRESSWAY ST
Practice Address - Street 2:4TH FLOOR, NICU
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4418
Practice Address - Country:US
Practice Address - Phone:405-949-6051
Practice Address - Fax:405-949-6977
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OK161992080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine