Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1487885877 Individual Practitioner Male Practitioner

Jacob Leon Callison , PA

Physician Assistant • Broken Arrow, OK

Professional Overview & Biography Verified Profile Summary

Jacob Callison, PA is a registered healthcare professional specializing in Physician Assistant in Broken Arrow, OK. Practice services are available at 5050 E KENOSHA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5050 E Kenosha St

Broken Arrow, OK 740146711

Telephone 9189945140
Fax 9189945150
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Broken Arrow, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.2 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
27 Specialists

Practicing in Broken Arrow, OK (1911 Statewide)

Telehealth Adoption Rate
11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-10-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1844

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Robbie Bollinger , PA-C

Physician Assistant

NPI 1457711038

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 08, 2024

Registered at 5050 E KENOSHA ST, BROKEN ARROW, OK 740146711 (Tel: 9189945140)

📍
Updated Business Mailing Address April 10, 2023

Registered at 5050 E KENOSHA ST, BROKEN ARROW, OK 740146711 (Tel: 9189945140)

👤
Provider Name / Credentials Updated April 10, 2023

Recorded as JACOB CALLISON, PA

NPI Profile Active October 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2013

Registered at 123 N MAIN ST, BROKEN ARROW, OK 740123938 (Tel: 9189945140)

📍
Updated Business Mailing Address October 18, 2013

Registered at 123 N MAIN ST, BROKEN ARROW, OK 740123938 (Tel: 9189945140)

👤
Provider Name / Credentials Updated October 18, 2013

Recorded as JACOB CALLISON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2013

Physician Assistant (License #1844 in OK)

🟢
Initial NPI Registration & Enumeration August 03, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487885877
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2009
Last Update: October 08, 2024
Sole Proprietor: No

Mailing Address

5050 E Kenosha St

Broken Arrow, OK 740146711

Phone: 9189945140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.