JACK R. OAK MD – NPI #1326269648
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

JACK OAK is a surgeon located in BRIDGETON, MO. NPPES has assigned the NPI number 1326269648 to JACK OAK on May 02, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was previously updated about 3 years ago on Aug 01, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACK OAK below.

NPI Profile for
JACK R. OAK

NPI Number
1326269648
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JACK R. OAK
Credentials
MD
Primary location
12266 DE PAUL DR STE 305
BRIDGETON, MO 63044-2514
Phone: (314) 770-0991 Fax:
1 Other location(s):
555 N New Ballas Rd
Div Surg Vascular, Ste 265
Saint Louis, MO 63141-6825
Phone: (314) 991-4644
Fax: (314) 991-4910
Mailing address
660 S EUCLID AVE
MSC 8109-05-04
SAINT LOUIS, MO 63110-1010
Phone: (314) 991-4644 Fax: (314) 991-4910
Sole Proprietor
No
Updated
Certification Date
Aug 01, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for JACK OAK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidMO209363209
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 MO 2003009197

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
555 N NEW BALLAS RD,
SAINT LOUIS, MO 77025-1669

Additional Information

Education
UNIVERSITY OF CALIFORNIA, SAN DIEGO SCHOOL OF MEDICINE - Graduated 2001
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACK OAK is affiliated with the following medical group(s):
  • HOSPITAL
    • ANMED HEALTH
      800 N FANT ST
      ANDERSON, SC 29621
    • BARNES-JEWISH ST PETERS HOSPITAL
      10 HOSPITAL DR
      SAINT PETERS, MO 63376
    • BARNES-JEWISH WEST COUNTY HOSPITAL
      12634 OLIVE BOULEVARD
      CREVE COEUR, MO 63141
    • MISSOURI BAPTIST MEDICAL CENTER
      3015 N BALLAS RD
      TOWN AND COUNTRY, MO 63131
    • ST LUKES HOSPITAL
      232 S WOODS MILL RD
      CHESTERFIELD, MO 63017

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.