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

Stuart Andrew Jack

Individual provider Internal Medicine Physician · NPI 1255950713

Stuart Andrew Jack is an Internal Medicine in Tulsa, Oklahoma. Qualified in 2020, 6 years ago. Practices with Florida Hospital Physician Group Inc, a 932-clinician group and accepts Medicare assignment. Licensed in Florida and Oklahoma.

Years since qualifying
6
Licensed in
FL, OK
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4502 E 41st St
Tulsa, OK 74135-2536
Phone: (918) 619-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME167093 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 35968 (OK)

Record details

NPI number1255950713
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2020
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address3704 E 67th St, Tulsa, OK 74136-2821

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Florida Hospital Physician Group Inc — 932 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Tulsa