TANAKORN SONGRUG (NPI# 1073847455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073847455 |
| Entity Type | Individual |
| Full Name | TANAKORN SONGRUG |
| Credential | MD |
| Practice Address |
744 W 9th St Tulsa OK 74127-9020 |
| Mailing Address |
4500 S Garnett Rd Ste 300 Tulsa OK 74146-5238 |
| Practice Telephone | 9189353550 |
| Mailing Telephone | 9187286194 |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2019-12-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
31053 | OK | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
31053 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
744 W 9TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74127-9020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013914456 | Judith Wolfstein | Specialist | 744 W 9th St, Tulsa, OK 74127-9020 | 2005-06-30 |
| 1053924118 | Zachary Dunn | Pharmacist | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-08-28 |
| 1104449370 | Laura Ann Holliday | Pharmacist | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-05-22 |
| 1033732623 | Ashlyn Renee Terrell | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-05-18 |
| 1366061780 | Joshua M Day | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-15 |
| 1639798150 | Nathan Nelson | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-14 |
| 1801415328 | Jake Xavier Checketts | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-14 |
| 1780203505 | Coy Yasler | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-11 |
| 1548889553 | Lacy Shireen Brame | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-09 |
| 1659900421 | Heath Spencer | Student in an Organized Health Care Education/Training Program | 744 W 9th St, Tulsa, OK 74127-9907 | 2020-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366966699 | Tarell Lynell Earl | Case Manager/Care Coordinator | 602 N. 28th W. Pl., Tulsa, OK 74127 | 2017-07-28 |
| 1023538014 | Milton Dean IIi | Counselor | 1234 N Rosedale, Tulsa, OK 74127 | 2017-06-21 |
| 1740700988 | Lisa Lee Ann Gilliland | Case Manager/Care Coordinator | 2001 W Ute Pl, Tulsa, OK 74127 | 2017-06-20 |
| 1114456498 | Kevin Thomas Jackson | Counselor | 310 S 49th W Ave, Tulsa, OK 74127 | 2017-06-08 |
| 1427406180 | Byron Conrad Dixon Jr. | Case Manager/Care Coordinator | 551 N. 28th W. Ave., Tulsa, OK 74127 | 2016-06-02 |
| 1548621568 | Brandon Worth | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2016-03-18 |
| 1073987467 | Jo Lowe | Social Worker | 420 S. Lawton Ave. Apt 315, Tulsa, OK 74127 | 2015-11-23 |
| 1154718575 | William Hughes | Health Educator | 3101 W Edison, Tulsa, OK 74127 | 2015-04-23 |
| 1801289665 | Kristyn Janelle Zrenda | Student in an Organized Health Care Education/Training Program | 717 S. Houston Ave., Suite 400, Tulsa, OK 74127 | 2015-03-17 |
| 1831595719 | Mallory Yarbrough | Counselor | 3005 N 24th West Ave, Tulsa, OK 74127 | 2014-11-05 |
| Find all providers in zip 74127 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932528015 | Oklahoma Life Access, Pllc | Radiology | 7519 S 49th West Ave, Tulsa, OK 74131-3402 | 2014-04-16 |
| 1770934960 | Thomas W White Md Pllc | Radiology | 1819 E 19th St, Suite 410, Tulsa, OK 74104-5407 | 2016-06-28 |
| 1396973434 | James Albert Rittimann | Radiology | 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 | 2009-06-28 |
| 1982867511 | Cordell Lee Privat | Radiology | 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 | 2008-07-03 |
| 1487680559 | Herbert E Hamilton | Radiology | 4111 S Darlington Ave, Ste 700, Tulsa, OK 74135-6348 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013918317 | Ronald Ray Magee | Radiology | 5224 E I 240 Service Rd Ste 303, Oklahoma City, OK 73135-2607 | 2005-08-09 |
| 1609475888 | Christopher Michael Shy | Radiology | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2020-10-20 |
| 1477926640 | Pinnacle Interventional and Vascular Care LLC | Radiology | 1 Nw 64th St, Oklahoma City, OK 73116-9107 | 2015-11-09 |
| 1083001200 | Maunil Sheth | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2015-04-26 |
| 1932508397 | New Age Radiology, PC | Radiology | 17923 N Portland Ave, Edmond, OK 73012-8960 | 2014-08-21 |
| 1710390869 | Timothy Aaron Graham | Radiology | 4200 W Memorial Rd Ste 212, Oklahoma City, OK 73120-8305 | 2014-06-06 |
| 1184047953 | Allure Medical Spa of Oklahoma, LLC | Radiology | 4700 W Urbana St, Broken Arrow, OK 74012-5997 | 2014-01-29 |
| 1265875918 | Maha Marwan Jarmakani | Radiology | 1200 Everett Dr, Chp 4g4200, Oklahoma City, OK 73104-5047 | 2013-04-12 |
| 1124319199 | Blake Preston Parsons | Radiology | 3200 Quail Springs Pkwy Ste 200, Oklahoma City, OK 73134-2699 | 2011-04-26 |
| 1962639757 | Manuel Correa Fortes | Radiology | 3300 Nw Expressway Fl 2, Oklahoma City, OK 73112-4418 | 2009-06-18 |
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| 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.