Individual provider · Type 1 NPI

Jessica Marie Fazendin, MD

Surgery Physician · Oklahoma City, OK

NPI number 1689013005 Active

Practice location

825 NE 10th St Ste 4G
Oklahoma City, OK 73104-5417

Fax (405) 271-1643

Mailing address

PO Box 55310
Birmingham, AL 35255-5310

Other practice locations

  • 2000 6th Ave S, Birmingham, AL 35233-2110 · (205) 975-5372
  • 245 N 15th St, Ms 413, Philadelphia, PA 19102-1101 · (215) 762-3058
  • 619 19th St S, Birmingham, AL 35249 · (205) 934-4011

Specialties and licenses

TaxonomyCodeLicense
Surgical Oncology Physician 2086X0206X38362 (AL)
Surgery Physician Primary 208600000X45139 (OK)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

7 other providers at this address

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About NPI 1689013005

Jessica Marie Fazendin, MD's National Provider Identifier is 1689013005, issued on Jun 19, 2013. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Oklahoma City, OK. The record was last updated on Nov 27, 2025.