Jacob Mark Burdett, DO
Otolaryngology in Tulsa, OK. Individual provider (NPI-1).
NPI number1104366574
StatusActive
Last updated in NPPESSep 8, 2026
Details
- NPI
- 1104366574
- Entity type
- Individual (NPI-1)
- Name
- Jacob Mark Burdett
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 3, 2017
- Certification date
- Sep 8, 2026
- Last updated
- Sep 8, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 7558 | OK | Yes |
| 207Y00000X | Otolaryngology | 036160720 | IL |
Practice location
6475 S Yale Ave Ste 401Tulsa, OK 74136-7818
Phone 918-502-9555 · Fax 918-502-9559
Mailing address
6600 S Yale Ave Ste 1400Tulsa, OK 74136-3331
Other practice locations
1919 S Wheeling Ave Ste 500
Tulsa, OK 74104-5634
Tulsa, OK 74104-5634
Phone 918-403-6284 · Fax 918-403-6323
4190 City Ave
Philadelphia, PA 19131-1626
Philadelphia, PA 19131-1626
Phone 215-871-6690
2601 W Main St
Carbondale, IL 62901-1031
Carbondale, IL 62901-1031
Phone 618-549-5361 · Fax 618-351-4878
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