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

Dr. Russell Wayne Jefferson, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073041299

Dr. Russell Wayne Jefferson, DO is a General Practice in Clinton, Oklahoma. Graduated from Lincoln Mem Univ, Debusk Col of Osteopathic Med in 2017, 9 years ago. Practices with Farmers Union Hospital Association, a 43-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
9
Trained at
Lincoln Mem Univ, Debusk Col of Osteopathic Med
Licensed in
OK
In the registry since
2017
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

501 S 11th St
Clinton, OK 73601-4303
Phone: (580) 819-0082
Show map & directions

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

Additional practice locations (1)

  • 4 E Clark Bass Blvd Ste 301, McAlester, OK 74501-4269 — (918) 421-6081

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 6428 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073041299
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 1, 2017
Last updated in NPPESJuly 21, 2022
Certification dateApril 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolLINCOLN MEM UNIV, DEBUSK COL OF OSTEOPATHIC MED
Graduated 2017 (9 years in practice)
Group practice Farmers Union Hospital Association — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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