UTICA SERVICES INC. (NPI# 1942244777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942244777 |
| Entity Type | Organization |
| Organization Name | UTICA SERVICES INC. |
| Other Organization Name | REGIONAL RADIOLOGY |
| Practice Address |
1923 S Utica Ave Tulsa OK 74104-6520 |
| Mailing Address |
1923 S Utica Ave Department 2296 Tulsa OK 74182-0001 |
| Practice Telephone | 9187442180 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | SR. M. THERESE GOTTSCHALK (PRESIDENT/CEO ST. JOHN HEALTH SYSTE) |
| Authorized Official Telephone | 9187442180 |
| Is Organization Subpart | Y |
| Parent Organization Name | UTICA SERVICES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | BCBS | 093011354-001 | 01 |
| OK | BCBS | 093012353-001 | 01 |
| OK | BCBS | 731131608001 | 01 |
| Other Name | Type Code |
|---|---|
| Regional Radiology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972534220 | Utica Services Inc. | Clinic/Center | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2006-07-05 |
| Street Address |
1923 S UTICA AVE |
| City | TULSA |
| State | OK |
| Zip Code | 74104-6520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174527667 | Mark Douglas Mills | Pharmacist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2005-06-13 |
| 1043848880 | Saba Imani | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-03-28 |
| 1073146312 | Tammy Irene Joplin | Clinical Nurse Specialist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2020-02-14 |
| 1962047563 | Houston Reed Slemp | Nurse Practitioner | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-11-07 |
| 1558903369 | Nicole Coburn | Physician Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-10-14 |
| 1124669643 | Jordan Beasley | Physician Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-10-06 |
| 1558926683 | Jacob Blasdel | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-05-03 |
| 1487217634 | Candice R Rogers | Student in an Organized Health Care Education/Training Program | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-04-15 |
| 1881158178 | Ellen Chadick | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-01-30 |
| 1528522810 | Hannah Chadick | Anesthesiologist Assistant | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2019-01-30 |
| Find all providers in the same location | ||||
| 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 | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518912450 | Cherry Street Mri Inc | Clinic/Center | 1826 E 15th St, Suite A, Tulsa, OK 74104-4611 | 2006-05-22 |
| 1598710436 | Tulsa Ct LLC | Clinic/Center | 1855 E 15th St, Tulsa, OK 74104-4610 | 2006-05-22 |
| 1811940703 | South Tulsa Ultrasound Associates, L.L.C. | Clinic/Center | 7712 S Yale Ave, Suite 100, Tulsa, OK 74136-8332 | 2006-05-19 |
| 1639662687 | Westview Medical Imaging | Clinic/Center | 3606 N Martin Luther King Jr Blvd, Tulsa, OK 74106-6459 | 2018-06-13 |
| 1104359645 | Advanced Imaging Resources Co | Clinic/Center | 7712 S Yale Ave, Ste. 100, Tulsa, OK 74136-8332 | 2017-04-11 |
| 1942457031 | State of Oklahoma | Clinic/Center | 2345 Southwest Blvd, Suite 100, Tulsa, OK 74107-2705 | 2008-08-20 |
| 1750577847 | Open Diagnostic Imaging LLC | Clinic/Center | 10537 S 92nd East Circle, Tulsa, OK 74133 | 2007-09-21 |
| 1467479071 | South Tulsa Pet, L.L.C. | Clinic/Center | 7712 S Yale Ave, Suite 100, Tulsa, OK 74136-8332 | 2006-07-17 |
| 1659399756 | South Tulsa Imaging, L.L.C. | Clinic/Center | 7712 S Yale Ave, Suite 100, Tulsa, OK 74136-8332 | 2006-07-17 |
| 1134174345 | Cardiovascular Impressions of Tulsa Inc | Clinic/Center | 2121 S Columbia Ave, Suite 104, Tulsa, OK 74114-3505 | 2006-05-24 |
| Find all providers in TULSA | ||||
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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.