PAUL E MASSAD (NPI# 1023012895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023012895 |
| Entity Type | Individual |
| Full Name | PAUL E MASSAD |
| Credential | M D INC |
| Practice Address |
5705 Country Club Ter Edmond OK 73025 |
| Mailing Address |
5705 Country Club Terrace Edmond OK 73025 |
| Practice Telephone | 4053302727 |
| Mailing Telephone | 4053302727 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
8291 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100104480A | 05 |
| Street Address |
5705 COUNTRY CLUB TER |
| City | EDMOND |
| State | OK |
| Zip Code | 73025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285252304 | Max Anna Hanna | Counselor | 2600 W. Coffee Creek Rd, Edmond, OK 73025 | 2020-07-07 |
| 1023403375 | Regina Kwendi | Counselor | 23802 Tuscany Plaza, Edmond, OK 73025 | 2015-04-03 |
| 1396165791 | Calandra Antonelli | Case Manager/Care Coordinator | 905 Baffy Court, Edmond, OK 73025 | 2014-04-24 |
| 1982732400 | Kim Mclanahan | Radiology | 5105 Circle Glen, Edmomd, OK 73025 | 2007-02-28 |
| 1922030758 | Leann Leach | Social Worker | 2660 Bobwhite Trail, Edmond, OK 73025 | 2006-07-06 |
| 1760692594 | Angela Marie Danel | Occupational Therapist | 4150 W Evergreen Dr, Edmond, OK 73025-1112 | 2007-05-23 |
| 1891064572 | Oklahoma Therapy Services LLC | Occupational Therapist | 4150 W Evergreen Dr, Edmond, OK 73025-1112 | 2011-12-24 |
| 1477951499 | Rani Mcguar | Physical Therapist | 10930 Gracie Dr, Edmond, OK 73025-1165 | 2014-12-08 |
| 1104195650 | Clifton Forest Cypert | Counselor | 4575 Vista Valley Ln, Edmond, OK 73025-1189 | 2011-12-28 |
| 1154685048 | Kimberly A Spears | Counselor | 1900 Crossfield Dr, Edmond, OK 73025-1202 | 2012-06-26 |
| Find all providers in zip 73025 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760829220 | Derrick Durell Wagoner | Radiology | 1800 Renaissance Blvd Ste 110, Edmond, OK 73013 | 2013-05-23 |
| 1952662363 | Julia Dry Knarreborg | Radiology | 1817 Rocky Mountain Way, Edmond, OK 73003-4640 | 2012-06-01 |
| 1346508041 | Telerad of Ok Account Management, LLC | Radiology | 4608 Briar Meade Rd, Edmond, OK 73025-9222 | 2012-05-01 |
| 1437390499 | Andrew Stone | Radiology | 2709 Nw 187th Ter, Edmond, OK 73012-7623 | 2009-03-20 |
| 1316198088 | Rodney Alen Kernes | Radiology | 432 Pacific Crest Trl, Edmond, OK 73003-2061 | 2008-09-30 |
| 1013045756 | Roger Barrett Collins | Radiology | 17104 Hawks Ridge Ln, Edmond, OK 73003-8400 | 2007-03-02 |
| 1588699136 | Kamlesh H Naik | Radiology | 3414 S Broadway, Edmond, OK 73013-4103 | 2006-07-12 |
| 1184692576 | Robin E Acker | Radiology | 1849 Fairmont Ln, Edmond, OK 73013-2938 | 2006-03-10 |
| 1063480333 | Laurie J Hast | Radiology | 1208 Blue Wister Cv, Edmond, OK 73013-1367 | 2006-03-10 |
| 1962485524 | Foundation Radiology Group PC | Radiology | 3509 French Park Dr Ste E, Edmond, OK 73034-7291 | 2005-11-28 |
| Find all providers in EDMOND | ||||
Please comment or provide details below to improve the information on PAUL E MASSAD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.