STEPHANIE DAWN RUNYAN (NPI# 1740351543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740351543 |
| Entity Type | Individual |
| Full Name | STEPHANIE DAWN RUNYAN |
| Credential | DO |
| Practice Address |
4108 Cobblestone Dr Muskogee OK 74403-8625 |
| Mailing Address |
11995 Singletree Ln Ste 500 Eden Prairie MN 55344-5347 |
| Practice Telephone | 9525951100 |
| Practice Fax Number | 6122944903 |
| Mailing Telephone | 9525951301 |
| Mailing Fax Number | 6122944903 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
2898 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
4108 COBBLESTONE DR |
| City | MUSKOGEE |
| State | OK |
| Zip Code | 74403-8625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945602 | Mccall Dental Studio | Dentist | 2214 Chandler Rd, Muskogee, OK 74403 | 2016-07-28 |
| 1386047256 | Dr. Penny B. Smythe, Inc., PC | Optometrist | 1157 N. York St., Muskogee, OK 74403 | 2014-10-06 |
| 1841563210 | Peggy Hanson | Social Worker | 503 E. Cincinnati Avenue, Muskogee, OK 74403 | 2012-02-16 |
| 1467736736 | Crystal S Richardson | Behavioral Analyst | 502 E Cincinnati Ave., Muskogee, OK 74403 | 2011-10-05 |
| 1114109816 | Jennifer Irene Newton | Dietitian, Registered | 1001 S. 41st Street East, Muskogee, OK 74403 | 2007-12-04 |
| 1922290899 | Casey Farmer | Counselor | 501 Fredonia, Muskogee, OK 74403 | 2007-08-15 |
| 1609068501 | Brenda Lawson | Counselor | 501 Fredonia St, Muskogee, OK 74403 | 2007-08-14 |
| 1689888661 | Christy Janet Coggins | Physical Therapy Assistant | 3310 Chandler Road, Muskogee, OK 74403 | 2007-05-09 |
| 1376765412 | Magnolia Gardens | Assisted Living Facility | 3211 Chandler Road, Muskogee, OK 74403 | 2007-05-02 |
| 1841411972 | Country Gardens Assisted Living, LLC | Assisted Living Facility | 611 S. Country Club Road, Muskogee, OK 74403 | 2007-05-02 |
| Find all providers in zip 74403 | ||||
| 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 |
| 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 |
| 1275837379 | Spectrum Imaging Pllc | Radiology | 300 Rockefeller Dr, Muskogee, OK 74401-5075 | 2011-01-04 |
| 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 | ||||
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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.