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

Jeremy Scott Fullingim, DO

Individual provider Diagnostic Radiology Physician · NPI 1255537304

Jeremy Scott Fullingim, DO is a Diagnostic Radiology in Tulsa, Oklahoma. Qualified in 2003, 23 years ago. Practices with Choctaw Nation of Oklahoma, a 270-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
23
Licensed in
OK
In the registry since
2007
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

4500 S Garnett Rd
Tulsa, OK 74146-5229
Phone: (918) 599-5031
Show map & directions

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

Additional practice locations (2)

  • 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3202 — (760) 340-3911
  • 3600 Minnesota Dr Ste 800, Edina, MN 55435-7915 — (952) 595-1100

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 4186 (OK)

Record details

NPI number1255537304
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 25, 2007
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address16155 N 68th West Ave, Skiatook, OK 74070-4313

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Choctaw Nation Of Oklahoma — 270 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations45 on file with Medicare

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