Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jason Jasper Ballew, MD

Individual provider Addiction Medicine (Preventive Medicine) Physician · NPI 1235146036

Dr. Jason Jasper Ballew, MD is an Addiction Medicine (Preventive Medicine) Physician in Tahlequah, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1400 E Downing St
Tahlequah, OK 74464-3324
Phone: (918) 456-0641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction Medicine (Preventive Medicine) Physician (primary) Taxonomy 2083A0300X · Licence 25130 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 25130 (OK)

Record details

NPI number1235146036
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2006
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026