ADVANCED IMAGING CONSULTANTS, PC (NPI# 1558488080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558488080 |
| Entity Type | Organization |
| Organization Name | ADVANCED IMAGING CONSULTANTS, PC |
| Practice Address |
816 Glenlake Dr Edmond OK 73013-1810 |
| Practice Telephone | 4057550053 |
| Practice Fax Number | 4057550053 |
| Mailing Telephone | 4057550053 |
| Mailing Fax Number | 4057550053 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | WEYTON WING-HO TAM (PRESIDENT) |
| Authorized Official Telephone | 4057550053 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
816 GLENLAKE DR |
| City | EDMOND |
| State | OK |
| Zip Code | 73013-1810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407461866 | Alison Church-pugh | Case Manager/Care Coordinator | 1441 Kelley Pointe Pkwy, Edmond, OK 73013 | 2020-09-12 |
| 1699395343 | Dental Specialists of Edmond | Dentist | 16430 Muirfield Pl, Edmond, OK 73013 | 2020-04-23 |
| 1104477215 | Kammerer Richey LLC | Nurse Practitioner | 902 Nw 139th Street Parway, Edmond, OK 73013 | 2019-09-20 |
| 1811459191 | Peak Movement Centre, Pllc | Clinic/Center | 13816 Santa Fe Crossing Dr, Edmond, OK 73013 | 2019-04-04 |
| 1851858492 | Luma Hilal | Pharmacist | 2228 Nw 15th Terrace, Edmond, OK 73013 | 2019-03-01 |
| 1578031571 | Oklahoma Wellness Group LLC | Internal Medicine | 14101 North Esatern Avenue Suite B, Edmond, OK 73013 | 2018-11-07 |
| 1477034395 | Specialty Care Pediatrics, Inc. | Home Health | 2256 Nw 164th Street, Edmond, OK 73013 | 2018-08-28 |
| 1972083921 | Pooja Bhakta | Physician Assistant | Stanbro Healthcare Group LLC, 2000 E. 15th St., Suite 400-a, Edmond, OK 73013 | 2018-08-20 |
| 1417460577 | Oklahoma Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 15103 N Macarthur Blvd, Oklahoma City, OK 73013 | 2017-11-13 |
| 1356879753 | Shawn Smith Optimal Pt and Performance, Pllc | Physical Therapist | 336 Ne 145th Pl, Edmond, OK 73013 | 2017-05-30 |
| Find all providers in zip 73013 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629339080 | Anedtra M Haynes | Specialist | 1621 Nw 150th Ter, Edmond, OK 73013-1653 | 2012-06-01 |
| 1306171061 | O'tar T Norwood | Specialist | 16716 Rugosa Rose Dr, Edmond, OK 73012-8455 | 2009-10-13 |
| 1710148283 | Scott Shadfar | Specialist | 4509 Integris Pkwy, Suite 200, Edmond, OK 73034-8696 | 2008-06-18 |
| 1497942684 | Angela Dawn Jones | Specialist | 3805 Baird Dr, Edmond, OK 73013-6336 | 2007-10-01 |
| 1629121058 | General Surgery Associates, P.C. | Specialist | 105 S Bryant Ave Ste 310, Edmond, OK 73034-6331 | 2007-01-19 |
| 1588734925 | Breast Imaging of Oklahoma, LLC | Specialist | 2601 Kelley Pointe Pkwy Ste 101, Edmond, OK 73013-2996 | 2006-11-09 |
| 1770667305 | Raghuvender Ganta | Specialist | 14504 Maplelake Dr, Edmond, OK 73013-1863 | 2006-10-24 |
| 1316042633 | James L Stammer | Specialist | 3401 Ridgewood Dr, Edmond, OK 73013-8072 | 2006-09-13 |
| 1467557991 | Gary C Hill Md Inc | Specialist | 200 N Bryant Ave Ste 100, Edmond, OK 73034-6273 | 2006-09-13 |
| 1609834142 | John Mark Gilchrist | Specialist | 3824 S Boulevard, Suite 160, Edmond, OK 73013-5778 | 2006-05-03 |
| Find all providers in EDMOND | ||||
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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.