BREAST CARE SPECIALISTS OF OKLAHOMA, LLC (NPI# 1699245852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699245852 |
| Entity Type | Organization |
| Organization Name | BREAST CARE SPECIALISTS OF OKLAHOMA, LLC |
| Practice Address |
13401 N Macarthur Blvd Oklahoma City OK 73142-9109 |
| Mailing Address |
Po Box 5460 Longview TX 75608-5460 |
| Practice Telephone | 4057552273 |
| Practice Fax Number | 4057513505 |
| Mailing Telephone | 9036638663 |
| Mailing Fax Number | 9036637394 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | GLENNA YOUNG (PRESIDENT) |
| Authorized Official Telephone | 4057552273 |
| 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 |
| Street Address |
13401 N MACARTHUR BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73142-9109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184003790 | Advance Physicians Group LLC | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142 | 2015-05-28 |
| 1427572833 | Ou Medicine Inc. | Clinic/Center | 13401 N Macarthur Blvd, Oklahoma City, OK 73142-9109 | 2017-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366840084 | Lindsey Jackson | Case Manager/Care Coordinator | 12051 Parkland Pl, Oklahoma City, OK 73142 | 2014-12-11 |
| 1164866737 | Vitality Wellness | Clinic/Center | 5740 Nw 135th St., Oklahoma City, OK 73142 | 2013-04-25 |
| 1356694558 | Joel Mitchell Sprinkle | Community Health Worker | 13100 Brandon Pl, Oklahoma City, OK 73142 | 2012-10-25 |
| 1689923856 | Sampson Mcsidney | Case Management | 14717 Hollyhock Dr, Oklahoma City, OK 73142 | 2012-09-04 |
| 1992087860 | Derek Reed Mccarver | Pharmacist | 1400 E. 2nd St, Edmond, OK 73142 | 2011-09-15 |
| 1326335811 | Laser Spine Surgery Center of Oklahoma, LLC | Clinic/Center | 4727 Gaillardia Parkway, Suite 150, Oklahoma City, OK 73142 | 2011-07-05 |
| 1215220801 | James Kenneth Fisher | Psychologist | 12522 Abbotts Way, Oklahoma City, OK 73142 | 2011-05-16 |
| 1174850408 | Diagnostic Laboratory of Oklahoma, LLC | Clinical Medical Laboratory | 5911 West Memorial Road, Oklahoma City, OK 73142 | 2009-11-06 |
| 1417113275 | Reuben Seth Thomas | Optometrist | 6200 W Memorial Rd Ste A, Oklahoma City, OK 73142 | 2008-07-31 |
| 1346448644 | Andrea Sage Miller | Internal Medicine | 13150 North Macarthur, Oklahoma City, OK 73142 | 2007-07-07 |
| Find all providers in zip 73142 | ||||
| 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 |
|---|---|---|---|---|
| 1053601237 | Anjali Lal | Radiology | 940 Ne 13th St Ste 4g4250, Oklahoma City, OK 73104 | 2011-04-08 |
| 1295045433 | Oliver A. Cvitanic Md, PC | Radiology | 230 Sw 80th St, Oklahoma City, OK 73139-8107 | 2010-10-20 |
| 1356652515 | Franklin C. Nwoke | Radiology | 1325 N Walker Ave Apt 428, Oklahoma City, OK 73103-6411 | 2010-06-23 |
| 1215257225 | Michael P Murphy | Radiology | 13108 Red Cedar Cir, Oklahoma City, OK 73131-1860 | 2010-06-02 |
| 1568787489 | Mohamed Nabil Attaya | Radiology | 1100 North Lindsay, University of Oklahoma, Oklahoma City, OK 73104 | 2010-04-03 |
| 1396876025 | Lawrence Churng-shyuh Fan | Radiology | 5300 W Memorial Rd, Apt. 22p, Oklahoma City, OK 73142 | 2007-03-07 |
| 1780762195 | Christian Leigh Koopman | Radiology | 940 N.e. 13th St, Garrison Tower, Suite 4g4250, Radiological Sciences, Oklahoma City, OK 73104 | 2006-11-02 |
| 1891886354 | Mobile X-ray Services Inc | Radiology | 8200 N Classen Blvd, Suite 123, Oklahoma City, OK 73114-2128 | 2006-09-27 |
| 1538267208 | Oliver Anthony Cvitanic | Radiology | 9901 S Pennsylvania Ave, Oklahoma City, OK 73159-6920 | 2006-09-20 |
| 1972522845 | T.h. Molskness D.o. | Radiology | 11205 Greenbriar Chase St, Oklahoma City, OK 73170-3218 | 2006-07-19 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73142 |
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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.