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

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