Provider Demographics
NPI:1134199250
Name:MCADAMS, JIMMIE D JR (DO)
Entity type:Individual
Prefix:DR
First Name:JIMMIE
Middle Name:D
Last Name:MCADAMS
Suffix:JR
Gender:M
Credentials:DO
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Mailing Address - Street 1:PO BOX 21228
Mailing Address - Street 2:DEPARTMENT 31
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74121-1228
Mailing Address - Country:US
Mailing Address - Phone:918-491-5645
Mailing Address - Fax:918-491-5740
Practice Address - Street 1:6655 S YALE AVE
Practice Address - Street 2:LAUREATE PSYCHIATRIC CLINIC AND HOSPITAL
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3326
Practice Address - Country:US
Practice Address - Phone:918-491-5645
Practice Address - Fax:918-491-5740
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2008-03-06
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Provider Licenses
StateLicense IDTaxonomies
OK26342084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
5438232OtherAETNA BEHAVIORAL HEALTH
1022622OtherCIGNA BEHAVIORAL HEALTH
1022622OtherCIGNA BEHAVIORAL HEALTH