BREAST MRI OF OKLAHOMA LLC (NPI# 1972698306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972698306 |
| Entity Type | Organization |
| Organization Name | BREAST MRI OF OKLAHOMA LLC |
| Practice Address |
4300 Mcauley Blvd Oklahoma City OK 73120-8302 |
| Mailing Address |
Po Box 108809 Oklahoma City OK 73101-8809 |
| Practice Telephone | 4057497077 |
| Practice Fax Number | 4056319315 |
| Mailing Telephone | 4056322323 |
| Mailing Fax Number | 4056319315 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-05-01 |
| Authorized Official Name | CHARLES BREKKE (MANAGER) |
| Authorized Official Telephone | 4056322323 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0206X |
Clinic/Center Specialization: Radiology, Mammography |
OK | Ambulatory Health Care Facilities |
| Street Address |
4300 MCAULEY BLVD |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73120-8302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457385510 | Alan B. Hollingsworth | Surgery | 4300 Mcauley Blvd, Oklahoma City, OK 73120-8302 | 2006-07-11 |
| 1932366713 | Marsha C Pratt | Medical Genetics | 4300 Mcauley Blvd, Oklahoma City, OK 73120-8302 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768971 | Nuvail Medical Services Inc | In Home Supportive Care | 3140 West Britton Road, Suite A, Oklahoma City, OK 73120 | 2019-12-26 |
| 1134781677 | Peak Solutions, LLC | Clinic/Center | 12401 Trail Oaks Drive, Therapy Room, 2nd Floor, Oklahoma City, OK 73120 | 2019-07-05 |
| 1992363881 | Laura Lynn's Home Care, LLC | Home Health | 9801 N May Ave, Oklahoma City, OK 73120 | 2019-06-05 |
| 1962992115 | Erin Lyn Florer | Occupational Therapist | 12401 Trail Oak Dr, Oklahoma City, OK 73120 | 2018-05-14 |
| 1780171009 | Diabetic Foot and Wound Center of Okfas | Podiatrist | 11100 Hefner Pointe Drive, Suite A, Oklahoma City, OK 73120 | 2018-04-23 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1043729700 | Jenna Marie Howard | Social Worker | 3301 North Meridian Ave., Building 100, Oklahoma City, OK 73120 | 2017-09-26 |
| 1962928895 | Susan Chacko | Counselor | 12000 N Virginia Avenue, Oklahoma City, OK 73120 | 2017-08-22 |
| 1023533262 | Farris Ree Stroupe | Audiologist | 4140 W. Memorial Rd Suite 116, Oklahoma City, OK 73120 | 2017-08-09 |
| 1881116200 | Rebekah Danielle Kabariti | Counselor | 12000 N. Virgnia Ave, Oklahoma City, OK 73120 | 2017-07-07 |
| Find all providers in zip 73120 | ||||
| Taxonomy Code | 261QR0206X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mammography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316342512 | Hca Health Services of Oklahoma, Inc. | Clinic/Center | 2601 Sw 119th, Oklahoma City, OK 73170 | 2014-10-30 |
| 1023413218 | Hca Health Services of Oklahoma, Inc. | Clinic/Center | 13509 N Meridian Ave, Oklahoma City, OK 73120-8397 | 2014-10-30 |
| 1225295272 | Central Oklahoma American Indian Health Council, Inc. | Clinic/Center | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2008-05-19 |
| 1336155779 | Integris South Oklahoma City Hospital Corporation | Clinic/Center | 4100 S Douglas Ave, Oklahoma City, OK 73109-3210 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972534220 | Utica Services Inc. | Clinic/Center | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2006-07-05 |
| City | OKLAHOMA CITY |
| Zip Code | 73120 |
Please comment or provide details below to improve the information on BREAST MRI OF OKLAHOMA LLC.
| 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.