JAY L KROTTINGER (NPI# 1730554031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730554031 |
| Entity Type | Individual |
| Full Name | JAY L KROTTINGER |
| Practice Address |
22 S Lewis Ave Tulsa OK 74104-1615 |
| Mailing Address |
Po Box 1430 Lockbox #5120 Jenks OK 74037-1430 |
| Practice Telephone | 9187709333 |
| Practice Fax Number | 9182134888 |
| Mailing Telephone | 9187709333 |
| Mailing Fax Number | 9182134888 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2018-11-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | Suppliers |
| Street Address |
22 S LEWIS AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 335V00000X |
| Grouping | Suppliers |
| Classification | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier |
| A supplier that provides one or more of the following portable services, including but not limited to, x-ray, electrocardiogram (EKG), long-term EKG (Holter Monitor), bone densitometry, sonography, and other imaging services in accordance with all state and federal requirements, under the general supervision of a qualified physician. All necessary resources are transported to the patient's location where the services are performed. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: title and definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| 1073138582 | Pdi Health Ok LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 8211 E Regal Pl, Tulsa, OK 74133-7167 | 2020-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124637574 | Quality Medical Imaging of Oklahoma, Inc. | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 201 Shady Creek Rd Ste 115, Durant, OK 74701-2412 | 2020-07-30 |
| 1982157178 | Schryver Medical Sales and Marketing, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1236 Sovereign Row, Oklahoma City, OK 73108-1823 | 2016-07-25 |
| 1467810986 | Red River Mobile Imaging LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2807 Lorrie Ln, Durant, OK 74701-1660 | 2016-01-29 |
| 1699163626 | Dependable Medical Diagnostics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 122 S. 38th, Muskoqee, OK 74401 | 2014-12-29 |
| 1144501552 | Midwest Mobile Radiographics | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 2406 E Fairfield Ct, Oologah, OK 74053-4106 | 2011-08-30 |
| 1831417351 | Mms Imaging Services LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1415 Nw 43rd St, Oklahoma City, OK 73118-5021 | 2010-05-07 |
| 1851540173 | Professional Xray Mobility LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 14700 S Harvey Ave, Oklahoma City, OK 73170-7224 | 2008-09-10 |
| 1518027507 | Diagnostic Mobile Xray of Enid | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 247 S Coltrane Rd, Edmond, OK 73034-6730 | 2006-12-11 |
| 1295895282 | Diagnostic Mobile X-ray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 440 S Coltrane Rd, Edmond, OK 73034-6733 | 2006-12-11 |
| 1659479160 | Oklahoma Mobile Xray Inc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 3011 N Highway 81, Duncan, OK 73533-8923 | 2006-09-20 |
| 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.