Individual
DR. JEREMIAH A JANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 NW 56TH, SUITE 206, OKLA CITY, OK 73112-4426
(405) 945-4710
(405) 562-9242
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806
(562) 933-1550
(562) 933-8088
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25857
OK
2085R0202X
Diagnostic Radiology Physician
25MA11337600
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
C175919
CA
2085R0202X
Diagnostic Radiology Physician
TEP5419
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2000292930A
—
OK
01
—
P00964011
MEDICARE RAILROAD
OK
Enumeration date
03/28/2007
Last updated
01/21/2026
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