CBS MOBILE XRA & EKG (NPI# 1780777417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780777417 |
| Entity Type | Organization |
| Organization Name | CBS MOBILE XRA & EKG |
| Practice Address |
4505 Copperwood Duncan OK 73533 |
| Practice Telephone | 5804759729 |
| Practice Fax Number | 5804759728 |
| Mailing Telephone | 5804759729 |
| Mailing Fax Number | 5804759728 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2010-01-27 |
| Authorized Official Name | MR. PAUL D SCOTT (PRESIDENT/OWNER) |
| Authorized Official Telephone | 5804759729 |
| Authorized Official Credential | R.T. (R) |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
237277 | Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200043590A | 05 |
| Street Address |
4505 COPPERWOOD |
| 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 | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295173698 | Kevin Milam | Radiologic Technologist | 806 S Harvey St, Coalgate, OK 74538-3818 | 2013-06-06 |
| 1376735415 | Samuel Grady Lewis | Radiologic Technologist | 308 Fairview Ave, Ponca City, OK 74601-2001 | 2007-08-13 |
| 1417073271 | Sharon Gerards | Radiologic Technologist | 14 Juel Dr, Shawnee, OK 74804-3302 | 2007-03-22 |
| 1932256476 | Phillip Lee Kizzia | Radiologic Technologist | 347 S 37th St, Muskogee, OK 74401-4906 | 2007-01-05 |
| 1861564874 | Health Link Mobile X-ray LLC | Radiologic Technologist | 1918 Indian Dr, Enid, OK 73703 | 2006-11-14 |
| 1922011121 | Contract Xray Services Inc | Radiologic Technologist | 8181 E 46th St, Tulsa, OK 74145-4801 | 2006-08-15 |
| 1134661887 | Rhonda Phillips | Radiologic Technologist | 2807 Lorrie Ln, Durant, OK 74701-1660 | 2016-11-12 |
| 1316382930 | Norman Regional Health System | Radiologic Technologist | 901 N Porter Ave, Norman, OK 73071-6404 | 2013-05-09 |
| 1639399124 | Susan Jones Castillo | Radiologic Technologist | 5900 Mosteller Dr, Suite 150, Oklahoma City, OK 73112-4600 | 2007-04-26 |
Please comment or provide details below to improve the information on CBS MOBILE XRA & EKG.
| 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.