DIAGNOSTIC RADIOLOGY - NPI 1073565115 - Radiology in Edmond, OK

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

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About Diagnostic Radiology NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAGNOSTIC RADIOLOGY (NPI 1073565115) is a healthcare organization registered as a diagnostic radiology in Edmond, Oklahoma and active in the NPI registry since May 2006. The organization lists Becky M Jackson, Billing Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073565115

Entity TypeOrganization

Primary Taxonomy2085R0202X

Legal Business NameDIAGNOSTIC RADIOLOGY

Location Address902 S BRYANT AVEEdmond, OK 73034-5742

Mailing AddressPo Box 2080Edmond, OK 73083-2080 · (405) 348-1900 · Fax (405) 348-0423

Phone(405) 348-1900

Fax(405) 348-0423

Organization SubpartNo

Authorized OfficialBecky M JacksonBilling Office Manager · (405) 348-1900

Enumeration DateMay 17, 2006

Last NPPES UpdateSeptember 20, 2010

✔ NPI 1073565115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

902 S BRYANT AVE, Edmond, OK 73034

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Other Identifiers 3

Medicare ID-Type UnspecifiedWCDHV1OK

Medicaid100734560AOK

Other=========001OK · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES DELBERT CROOKS M.D.

Radiology (Diagnostic Radiology)