SPECTRUM IMAGING PLLC (NPI# 1275837379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275837379 |
| Entity Type | Organization |
| Organization Name | SPECTRUM IMAGING PLLC |
| Other Organization Name | IMAGING SERVICES OF OKLAHOMA PLLC |
| Practice Address |
300 Rockefeller Dr Muskogee OK 74401-5075 |
| Mailing Address |
Po Box 21228 Dept 130 Tulsa OK 74121-1228 |
| Practice Telephone | 9186842189 |
| Mailing Telephone | 4054867250 |
| Mailing Fax Number | 7066531567 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | KERRY A TRETHEWAY (MANAGER) |
| Authorized Official Telephone | 4054867250 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| IMAGING SERVICES OF OKLAHOMA PLLC | Former Legal Business Name - Organization |
| Street Address |
300 ROCKEFELLER DR |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74401-5075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578566279 | Brian Neal Stephens | Nurse Anesthetist, Certified Registered | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2005-05-27 |
| 1770115446 | Tina Gale-bickett | Nurse Practitioner | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2020-02-10 |
| 1568943355 | Steve Zagorodny | Occupational Therapist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2018-08-28 |
| 1699272559 | Erik Jon Ostrowski | Clinical Exercise Physiologist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2018-04-08 |
| 1609379056 | Kimberly M Hedrick | Nurse Practitioner | 300 Rockefeller Dr, Muskogee, OK 74401 | 2018-03-12 |
| 1912424532 | Jeanne M. Rappsilber | Physical Medicine & Rehabilitation | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-08-24 |
| 1225558729 | Cordine Corretta Krystal Glasgow | Hospitalist | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-06-26 |
| 1609396092 | Aparna Vuppala | Internal Medicine | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2017-06-26 |
| 1790220952 | Saint Francis Hospital Muskogee Inc | Psychiatric Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
| 1306381561 | Saint Francis Hospital Muskogee Inc | Rehabilitation Unit | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2016-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486978 | Economy Pharmacy | Pharmacy | 3414 W. Okmulgee, Muskogee, OK 74401 | 2020-04-25 |
| 1831678390 | Jaclyn Drass | Nurse Practitioner | 201 N 32nd St, Muskogee, OK 74401 | 2018-08-07 |
| 1225530710 | Cliffetta J Harrison | Case Management | 619 N Main St., Muskogee, OK 74401 | 2018-03-01 |
| 1255700720 | Wesley B Higgs | Physical Therapist | 151 Eco-friendly Drive, Suite 101, Muskogee, OK 74401 | 2015-09-15 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1134529928 | Mednow Urgent Care Center LLC | Clinic/Center | 550 W Shawnee St, Muskogee, OK 74401 | 2014-08-28 |
| 1447676770 | Ruby Johns | Counselor | 403 N 24th, Muskogee, OK 74401 | 2014-03-11 |
| 1417393380 | Andreka Pace | Counselor | 223 W Southside Boulevard, Muskogee, OK 74401 | 2013-05-17 |
| 1730438342 | Gordon Keith Harlin | Social Worker | 619 N Main, Muskogee, OK 74401 | 2012-08-29 |
| 1740565928 | Channing Kathleen Burke | Counselor | 741 South 32nd Street, Muskogee, OK 74401 | 2011-10-19 |
| Find all providers in zip 74401 | ||||
| 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 |
|---|---|---|---|---|
| 1972713188 | Heath Armstrong Vandelinder | Radiology | 300 Rockefeller Dr., Muskogee, OK 74401 | 2007-05-23 |
| 1740351543 | Stephanie Dawn Runyan | Radiology | 4108 Cobblestone Dr, Muskogee, OK 74403-8625 | 2006-11-13 |
| 1346206687 | Satyendra Arya | Radiology | 301 N. 32nd St., Muskogee, OK 74401 | 2006-04-25 |
| 1114308079 | Om Imaging Pllc | Radiology | 301 N. 32nd St., Muskogee, OK 74401 | 2015-06-16 |
| 1134386626 | Muskogee Physician Group LLC | Radiology | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2008-05-21 |
| 1336334671 | Steven Ciglar | Radiology | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2007-09-10 |
| 1821112699 | Oana Madalina Mischiu | Radiology | 1011 Honor Heights Dr, Muskogee, OK 74401-1318 | 2007-03-19 |
| 1891892378 | Altaf Husain | Radiology | 1011 Honor Heights Drive, Muskogee, OK 74401 | 2006-09-19 |
| 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 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SPECTRUM IMAGING PLLC.
| 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.