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

Jason Pack, MD

Individual provider Diagnostic Radiology Physician · NPI 1861549743

Jason Pack, MD is a Diagnostic Radiology in Midwest City, Oklahoma. Qualified in 2002, 24 years ago. Practices with Choctaw Nation of Oklahoma, a 270-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
24
Licensed in
OK
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2825 Parklawn Dr Radiology Dept
Midwest City, OK 73110-4201
Phone: (405) 610-8398
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 22587 (OK)

Record details

NPI number1861549743
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESSeptember 14, 2012
Mailing addressPo Box 720778, Norman, OK 73070-4602

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Choctaw Nation Of Oklahoma — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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