CHISHOLM TRIAL IMAGING LLC (NPI# 1801946009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801946009 |
| Entity Type | Organization |
| Organization Name | CHISHOLM TRIAL IMAGING LLC |
| Practice Address |
1509 Brookwood Ave Suite B Duncan OK 73533-1316 |
| Practice Telephone | 5802520553 |
| Practice Fax Number | 5802520504 |
| Mailing Telephone | 5802520553 |
| Mailing Fax Number | 5802520504 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. OSCAR MORALES (PRESIDENT) |
| Authorized Official Telephone | 5802520553 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
261QR0200X | OK | Ambulatory Health Care Facilities |
| Street Address |
1509 BROOKWOOD AVE SUITE B |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678195 | Oscar Morales | Internal Medicine | 1509 Brookwood Ave, Ste B, Duncan, OK 73533-1356 | 2005-06-13 |
| 1720535933 | Southwest Oklahoma Surgery, Pllc | Surgery | 1509 Brookwood Ave, Ste C, Duncan, OK 73533-1316 | 2016-09-06 |
| 1285070300 | Meredith Ann Albin Rn, Bcaba, Pllc | Behavioral Analyst | 1509 Brookwood Ave, Suite A, Duncan, OK 73533-1316 | 2013-05-15 |
| 1609026400 | Kevin Wayne Kinnaird | Specialist/Technologist | 1509 Brookwood Ave, Suite A, Duncan, OK 73533-1316 | 2008-09-29 |
| 1285826651 | Kara Melissa Mccracken | Physical Therapist | 1509 Brookwood Ave, Suite A, Duncan, OK 73533-1316 | 2007-08-09 |
| 1235269739 | Oscar Morales Md PC | Internal Medicine | 1509 Brookwood Ave, Suite B, Duncan, OK 73533-1316 | 2007-03-06 |
| 1881681708 | Aaron A. Ray | Physical Therapy Assistant | 1509 Brookwood Ave, Duncan, OK 73533-1356 | 2005-10-05 |
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316159213 | Drh Imaging, LLC | Clinic/Center | 1414 Duncan Regional Loop Rd, Duncan, OK 73533 | 2007-05-04 |
| 1679699144 | Inmed Diagnostics Services of Sc LLC | Clinic/Center | 1704 E Main St, Duncan, SC 29334-9708 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770116329 | Zoom Diagnostic Imaging Ardmore LLC | Clinic/Center | 1228 Merrick Dr, Ardmore, OK 73401-1824 | 2020-02-21 |
| 1396270351 | Zoom Diagnostic Imaging LLC | Clinic/Center | 1113 West Cherry Ave, Enid, OK 73703 | 2017-04-27 |
| 1962768143 | Comprehensive Diagnostic Imaging, LLC | Clinic/Center | 5800 North Portland Avenue, Oklahoma City, OK 73112 | 2012-04-02 |
| 1770751281 | Hefner Ct Associates | Clinic/Center | 3400 West Hefner Road, Oklahoma City, OK 73120 | 2008-02-19 |
| 1760411540 | Mcalester Imaging Associates LLC | Clinic/Center | 10 S 3rd St, Suite 100, Mcalester, OK 74501-5319 | 2006-07-02 |
| 1174552947 | Ct Associates No. 1, L.L.C. | Clinic/Center | 10317 Greenbriar Pkwy, Oklahoma City, OK 73159-7648 | 2006-07-02 |
| 1114962420 | Therasolutions, Inc. | Clinic/Center | 5900 Mosteller Dr, Suite 150, Oklahoma City, OK 73112-4600 | 2006-06-19 |
| 1841233509 | Norman Mri Associates, LLC | Clinic/Center | 3750 W. Robinson #130, Norman, OK 73072 | 2006-06-13 |
| 1912952714 | Open-sided Mri of Stillwater Inc | Clinic/Center | 1909 W 6th Ave, Suite A, Stillwater, OK 74074-4204 | 2006-05-23 |
| 1649225491 | Aspen Medical Imaging Inc | Clinic/Center | 1755 N Aspen Ave, Broken Arrow, OK 74012-1197 | 2006-05-23 |
| 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.