RADIOLOGIC SERVICES OF OKLAHOMA PLLC (NPI# 1548289531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548289531 |
| Entity Type | Organization |
| Organization Name | RADIOLOGIC SERVICES OF OKLAHOMA PLLC |
| Other Organization Name | CLINICAL RADIOLOGY OF OKLAHOMA STATEWIDE PLLC |
| Practice Address |
1407 Whisenant Duncan OK 73533 |
| Mailing Address |
Po Box 1907 Greenville TX 75403-1907 |
| Practice Telephone | 5802525300 |
| Mailing Telephone | 8663025557 |
| Mailing Fax Number | 9034532541 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | AMY KIRBY (PRESIDENT) |
| Authorized Official Telephone | 4052864056 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200107470A | 05 |
| Other Name | Type Code |
|---|---|
| Clinical Radiology of Oklahoma Statewide PLLC | Former Legal Business Name - Organization |
| Street Address |
1407 WHISENANT |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723362 | Stefanie Alexis Dubicki | Physician Assistant | 1120 Us-81 N, Duncan, OK 73533 | 2019-11-06 |
| 1568935898 | Grace Elizabeth Peters | Physician Assistant | 1120 Us 81, Duncan, OK 73533 | 2019-01-09 |
| 1427406487 | Joseph Suarez | Behavioral Analyst | 23 N 8th, Duncan, OK 73533 | 2016-06-01 |
| 1386086148 | Andrea R Daughtrey | Behavioral Analyst | 209 S 21 St, Duncan, OK 73533 | 2013-07-22 |
| 1578830873 | Carlton D. Mitchell II | Social Worker | 1919 Elk, Duncan, OK 73533 | 2011-11-30 |
| 1336460468 | Dawn Price | Counselor | 7 1/2 N. 8th St, Duncan, OK 73533 | 2010-06-11 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1972788222 | Thelma Joann Dillard | Dentist | 1415 W Main Street, Duncan, OK 73533 | 2008-01-07 |
| 1659560548 | Julia Gayle Case | Nurse Practitioner | 2004 North Hwy 81, Duncan, OK 73533 | 2007-10-17 |
| 1407060395 | Cynthia Annette Browning | Speech-Language Pathologist | 1400 Whisenant, Duncan, OK 73533 | 2007-05-09 |
| Find all providers in zip 73533 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
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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.