RADIOLOGY SERVICES OF ARDMORE, INC. (NPI# 1124123963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124123963 |
| Entity Type | Organization |
| Organization Name | RADIOLOGY SERVICES OF ARDMORE, INC. |
| Other Organization Name | RSA |
| Practice Address |
1011 14th Ave Nw Ardmore OK 73401-1828 |
| Mailing Address |
Po Box 518 Ardmore OK 73402-0518 |
| Practice Telephone | 4794529416 |
| Practice Fax Number | 4794840827 |
| Mailing Telephone | 4794529416 |
| Mailing Fax Number | 4794840827 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-07-17 |
| Authorized Official Name | MRS. JULIE DIBRELL-GARCIA (MANAGER) |
| Authorized Official Telephone | 4794529419 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
OK | Allopathic & Osteopathic Physicians | |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
OK | Allopathic & Osteopathic Physicians | |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100730410A | 05 |
| Other Name | Type Code |
|---|---|
| RSA | Other Name - Individual/Organization |
| Street Address |
1011 14TH AVE NW |
| City | ARDMORE |
| State | OK |
| Zip Code | 73401-1828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497743611 | Beth Melanie May | Emergency Medicine | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2005-10-11 |
| 1164034872 | Aishwarya Srinivasan | Dietitian, Registered | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2020-08-24 |
| 1982177242 | Mercy Hospital Ardmore Inc | Clinic/Center | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2019-01-09 |
| 1336610708 | Nancy Lanette Cavner | Prevention Professional | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2018-12-11 |
| 1245738145 | Trey Ryan Roundtree | Nurse Anesthetist, Certified Registered | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2018-01-25 |
| 1750895603 | Hillary K Kotwal | Dietitian, Registered | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2017-11-29 |
| 1801308010 | Garrett Newton | Nurse Practitioner | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2017-10-27 |
| 1760993158 | Justin Cole Cheek | Nurse Practitioner | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2017-10-12 |
| 1447791645 | Emmanuel U Obi | Family Medicine | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2017-03-20 |
| 1386090066 | Jody Lee Smith | Internal Medicine | 1011 14th Ave Nw, Ardmore, OK 73401-1828 | 2016-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497391452 | Abbie Deeann Mclemore | Nurse Practitioner | 915 10th Ave, Ardmore, OK 73401 | 2019-11-25 |
| 1790349991 | Shirley Denise Brown | Licensed Psychiatric Technician | 1219 Kst N.w, 1219 Kst N.w, Ardmore, OK 73401 | 2019-04-24 |
| 1427512359 | Billy Joe Oshields | Case Manager/Care Coordinator | 6862 State Hwy 199 Ardmore Oklahoma, 6862 State Hwy 199, Ardmore, OK 73401 | 2019-01-24 |
| 1174007595 | Tawnya Dawn Peery | Nurse Practitioner | 1108 W. Walnut Drive, Ardmore, OK 73401 | 2018-09-21 |
| 1679055016 | Teresa Marie Hernandez | Behavior Technician | 1219 K St. Nw, Ardmore, OK 73401 | 2018-09-01 |
| 1063991974 | Sawyer Rae Shamburger | Occupational Therapy Assistant | 208 North Praire St, Pilot Point, TX 73401 | 2018-08-10 |
| 1417473521 | Chelsye Bacon | Peer Specialist | 905 Holiday Drive, Ardmore, OK 73401 | 2017-08-21 |
| 1003279746 | Jeni Presley | Marriage & Family Therapist | Outpatient Services-ardmore; 2510 Chickasaw Dr., Strong Family Development;, Ardmore, OK 73401 | 2016-03-31 |
| 1982080909 | Alison Hill | Pharmacist | 1111 N. Commerce, Ardmore, OK 73401 | 2015-07-31 |
| 1316346547 | Olivia Larae Carrell | Counselor | 15 Monroe Street Ne, Ardmore, OK 73401 | 2014-08-13 |
| Find all providers in zip 73401 | ||||
| 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 |
|---|---|---|---|---|
| 1679637664 | Raymond A Lloyd II | Radiology | 144 Arnold Rd, Ardmore, PA 19003-2802 | 2006-12-21 |
| 1386618122 | Richard Lee | Radiology | 1023 15th Ave Nw, Ardmore, OK 73401-1810 | 2006-02-16 |
| 1376528315 | Arjun Kalyanpur | Radiology | 22 Llanfair Rd Unit 6, Ardmore, PA 19003-2320 | 2005-12-13 |
| 1023113859 | Earle Stine | Radiology | 1023 15th Ave Nw, Ardmore, OK 73401-1810 | 2006-09-14 |
| 1114022621 | James Andrew Chapman | Radiology | 1023 15th Ave Nw, Ardmore, OK 73401-1810 | 2006-09-13 |
| 1790880219 | Derek G Howard | Radiology | 1023 15th Ave Nw, Ardmore, OK 73401-1810 | 2006-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442292 | Direct Medical Imaging LLC | Radiology | 5711 E 71st St Ste 100, Tulsa, OK 74136-6655 | 2020-06-24 |
| 1225594583 | Texas Sonography Associates, LLC | Radiology | 213 E Main St Ste 400, Calera, OK 74730-2115 | 2019-02-12 |
| 1336689298 | Rose Gideon | Radiology | 3904 Hidden Hill Rd, Norman, OK 73072-3006 | 2017-02-26 |
| 1972962876 | Christine Loeffler | Radiology | 44493 State Highway 9, Tecumseh, OK 74873-0113 | 2016-02-19 |
| 1760829220 | Derrick Durell Wagoner | Radiology | 1800 Renaissance Blvd Ste 110, Edmond, OK 73013 | 2013-05-23 |
| 1275887663 | Donald Von Borstel | Radiology | 12533 E 83rd St N, Owasso, OK 74055-6234 | 2012-11-06 |
| 1952662363 | Julia Dry Knarreborg | Radiology | 1817 Rocky Mountain Way, Edmond, OK 73003-4640 | 2012-06-01 |
| 1306106729 | Matthew Blake Wedman | Radiology | 14201 Sw 15th St, Yukon, OK 73099 | 2012-05-18 |
| 1346508041 | Telerad of Ok Account Management, LLC | Radiology | 4608 Briar Meade Rd, Edmond, OK 73025-9222 | 2012-05-01 |
| 1053601237 | Anjali Lal | Radiology | 940 Ne 13th St Ste 4g4250, Oklahoma City, OK 73104 | 2011-04-08 |
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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.