Provider Demographics
NPI:1285805713
Name:STOKES, OSCAR JAMESON (MD, MBA)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:JAMESON
Last Name:STOKES
Suffix:
Gender:M
Credentials:MD, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 UPPER HEMBREE RD
Mailing Address - Street 2:BUILDING 100, SUITE B
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-0927
Mailing Address - Country:US
Mailing Address - Phone:770-817-7951
Mailing Address - Fax:
Practice Address - Street 1:1300 UPPER HEMBREE RD
Practice Address - Street 2:BUILDING 100, SUITE B
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-0927
Practice Address - Country:US
Practice Address - Phone:770-817-7951
Practice Address - Fax:770-817-7975
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-12
Last Update Date:2017-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66905207LP2900X, 208VP0014X, 208D00000X
ALMD.30274207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL123040Medicaid
AL511-07142OtherBLUE CROSS BLUE SHIELD
AL123040Medicaid