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Jeffrey Deatherage
NPI 1174401012 · Peer Specialist · Mcalester, OK
Jeffrey Deatherage is a Peer Specialist provider in Mcalester, OK (NPI 1174401012).
Provider details
- NPI number
- 1174401012
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1101 E Monroe Ave
Mcalester, OK 74501-4815
Phone: (918) 429-4192
Approximate (ZIP-level) locationGet directions
Mailing address
1101 E Monroe Ave
Mcalester, OK 74501-4815
Registry dates
- Enumerated
- 2025-08-26
- Last updated
- 2025-08-26
- Certified
- 2025-08-26
Frequently asked questions
- What is Jeffrey Deatherage's NPI number?
- Jeffrey Deatherage's National Provider Identifier (NPI) is 1174401012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jeffrey Deatherage's specialty?
- Jeffrey Deatherage is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jeffrey Deatherage located?
- Jeffrey Deatherage's practice location on file with NPPES is 1101 E Monroe Ave, Mcalester, OK 74501-4815.
- What is Jeffrey Deatherage's phone number?
- The practice phone number listed in the NPPES registry for Jeffrey Deatherage is (918) 429-4192.
- Is Jeffrey Deatherage's NPI active?
- Yes — Jeffrey Deatherage's NPI (1174401012) is active in the NPPES registry as of the last update on 2025-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.