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

Jim Agei Enoh

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114640091

Jim Agei Enoh is an Osteopathic Manipulative Medicine in Tulsa, Oklahoma. Graduated from Oklahoma State University College of Osteopathic Medicine in 2024, 2 years ago. Registered with an NPI since 2022.

Years since qualifying
2
Trained at
Oklahoma State University College of Osteopathic Medicine
In the registry since
2022
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Practice location Address checks out

1111 W 17th St
Tulsa, OK 74107
Phone: (918) 582-1972
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1114640091
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 26, 2022
Last updated in NPPESSeptember 26, 2022
Certification dateSeptember 25, 2022
Mailing address2030 S Maybelle Ave, Tulsa, OK 74107-1832

Medicare enrollment

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

Medicare specialtyOSTEOPATHIC MANIPULATIVE MEDICINE
Medical schoolOKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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