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

Jacob Thomas McClellan, DO

Individual provider Emergency Medicine Physician · NPI 1629821988

Jacob Thomas McClellan, DO is an Emergency Medicine in Lawton, Oklahoma. Qualified in 2024, 2 years ago. Practices with Emergency Physicians of Mid-America PC, a 84-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
2
Licensed in
OK
In the registry since
2024
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.

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Practice location Address checks out

3401 W Gore Blvd
Lawton, OK 73505-6332
Phone: (580) 335-8620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 9206 (OK)
Emergency Medicine Physician Taxonomy 207P00000X · Licence TBD (OK)

Record details

NPI number1629821988
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2024
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address3401 W Gore Blvd, Lawton, OK 73505-6332

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Emergency Physicians Of Mid-America Pc — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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