JASON J BALLEW, MD, Addiction Medicine TAHLEQUAH, OK

Contact Information

JASON J BALLEW, MD

1400 E DOWNING ST
TAHLEQUAH, OK 74464-3324

Phone: 918-456-0641
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Addiction Medicine	2083A0300X	84	Physician/Preventive Medicine
Emergency Medicine	207P00000X	93	Physician/Emergency Medicine

Indicates primary specialty

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NPI Profile & details for JASON J BALLEW · (Male)

NPI #	`1235146036`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	08/02/2006
Last updated	05/27/2026 - About 2 weeks ago
Sole proprietor ¹	No
Identifiers	OK License # 25130
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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