NPI 1164206249 · live from the CMS NPI Registry
Jacob Ryan Batterton
Physician Assistant in Tulsa, OK. National Provider Identifier 1164206249, active.
NPI record
| NPI | 1164206249 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 8803 S 101st East Ave Ste 300, Tulsa, OK 74133 |
| Practice phone | 918-574-0220 |
| Mailing address | 9805 N 102nd East Ave, Owasso, OK 74055 |
| Enumerated | August 21, 2023 |
| Last updated | April 23, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.