FOUNDATION RADIOLOGY GROUP PC (NPI# 1962485524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962485524 |
| Entity Type | Organization |
| Organization Name | FOUNDATION RADIOLOGY GROUP PC |
| Practice Address |
3509 French Park Dr Ste E Edmond OK 73034-7291 |
| Practice Telephone | 4052856901 |
| Practice Fax Number | 4052856902 |
| Mailing Telephone | 4052856901 |
| Mailing Fax Number | 4052856902 |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | JEFFREY L WATTS (OWNER, PHYSICIAN) |
| Authorized Official Telephone | 4052856901 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740482686 | Foundation Radiology Group PC | Radiology | 401 Liberty Ave Ste 2000, Pittsburgh, PA 15222-1029 | 2007-06-04 |
| Street Address |
3509 FRENCH PARK DR STE E |
| City | EDMOND |
| State | OK |
| Zip Code | 73034-7291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912981499 | Jeffrey L. Watts | Radiology | 3509 French Park Dr Ste E, Edmond, OK 73034-7291 | 2005-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447172 | Saints Medical Group, LLC | Family Medicine | 2749 Progressive Dr, Suite B, Edmond, OK 73034 | 2020-11-06 |
| 1194339861 | Susan Haesook Kim | Pharmacist | 1400 2nd St, Edmod, Edmond, OK 73034 | 2020-09-01 |
| 1821616038 | Aaron Michael Gowens | Specialist/Technologist | 015 Wantland Hall 100 University Dr., Edmond, OK 73034 | 2020-07-14 |
| 1043834849 | Paddington Place Lcc | Intermediate Care Facility, Mental Illness | 3225 French Park Drive, Suite 6, Edmond, OK 73034 | 2020-06-08 |
| 1083254932 | Purpose Healthcare Inc | Psychologist | 301 South Blvd, Suite 117, Edmond, OK 73034 | 2020-01-08 |
| 1740773662 | Healthcare Express, LLP | Family Medicine | 2300 E 2nd St, Edmond, OK 73034 | 2018-06-14 |
| 1427555713 | Sara Nicole Smith | Specialist/Technologist | 100 N University Drive, Attn: Athletic Training Room, Edmond, OK 73034 | 2018-04-12 |
| 1619475084 | Carissa Leigh Brackelsberg | Chiropractor | 3709 E 2nd St, Edmond, OK 73034 | 2018-01-31 |
| 1760996177 | Laurel Michelle Glendening | Physical Therapist | 3531 River Wood Lane, Edmond, OK 73034 | 2017-11-21 |
| 1134643380 | Keith S Quinn | Dentist | 3008 Peaceful Ln, Edmond, OK 73034 | 2017-07-31 |
| Find all providers in zip 73034 | ||||
| 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 |
|---|---|---|---|---|
| 1760829220 | Derrick Durell Wagoner | Radiology | 1800 Renaissance Blvd Ste 110, Edmond, OK 73013 | 2013-05-23 |
| 1952662363 | Julia Dry Knarreborg | Radiology | 1817 Rocky Mountain Way, Edmond, OK 73003-4640 | 2012-06-01 |
| 1346508041 | Telerad of Ok Account Management, LLC | Radiology | 4608 Briar Meade Rd, Edmond, OK 73025-9222 | 2012-05-01 |
| 1437390499 | Andrew Stone | Radiology | 2709 Nw 187th Ter, Edmond, OK 73012-7623 | 2009-03-20 |
| 1316198088 | Rodney Alen Kernes | Radiology | 432 Pacific Crest Trl, Edmond, OK 73003-2061 | 2008-09-30 |
| 1013045756 | Roger Barrett Collins | Radiology | 17104 Hawks Ridge Ln, Edmond, OK 73003-8400 | 2007-03-02 |
| 1588699136 | Kamlesh H Naik | Radiology | 3414 S Broadway, Edmond, OK 73013-4103 | 2006-07-12 |
| 1184692576 | Robin E Acker | Radiology | 1849 Fairmont Ln, Edmond, OK 73013-2938 | 2006-03-10 |
| 1063480333 | Laurie J Hast | Radiology | 1208 Blue Wister Cv, Edmond, OK 73013-1367 | 2006-03-10 |
| 1831195528 | Kelly Neaves Mcdonough | Radiology | 2601 Kelley Pointe Pkwy, Ste 101, Edmond, OK 73013-2996 | 2005-06-27 |
| Find all providers in EDMOND | ||||
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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.