1. Home
  2. Directory
  3. Oklahoma
  4. Tulsa
  5. Radiology
  6. NPI Profile

PROVIDENCE RADIOLOGY
NPI 1093771321
Radiology - Diagnostic Radiology in Tulsa, OK

Active since April 25, 2006
4500 S GARNETT RD, STE 919, TULSA, OK 74146(918) 728-6145 Get Directions Write a Review

NPPES record last updated: October 15, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Providence Radiology NPPES

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

PROVIDENCE RADIOLOGY (NPI 1093771321) is a healthcare organization registered as a diagnostic radiology in Tulsa, Oklahoma and active in the NPI registry since April 2006. The organization lists Jim Bolene, President, as its authorized official.

NPPES Registry Identity

NPI1093771321
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePROVIDENCE RADIOLOGY
Location Address4500 S GARNETT RD, STE 919Tulsa, OK 74146-5229
Mailing Address4500 S Garnett Rd, Ste 919Tulsa, OK 74146-5229 · (918) 728-6145
Phone(918) 728-6145
Organization SubpartNo
Authorized OfficialJim BolenePresident · (918) 728-6145
Enumeration DateApril 25, 2006
Last NPPES UpdateOctober 15, 2007
✔ NPI 1093771321 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.
4500 S GARNETT RD, Tulsa, OK 74146
Open in Google Maps ↗

Other Identifiers 1

OtherCG4619Rr Medicare

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 20

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

LARRY ASHLEY CRNA
Nurse Anesthetist, Certified Registered
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Tulsa County (918) 728-6145
VICTORIA HOSPITALIST ASSOCIATES, LLC
Hospitalist
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Tulsa County (918) 728-6145
DR. JONATHAN D FRIEND MD
Anesthesiology
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Tulsa County (918) 728-6194
ERICH H MUCKALA DO
Radiology (Diagnostic Radiology)
4500 S GARNETT RD, STE 300
TULSA, OK 74146
Tulsa County (918) 728-6194
DR. CHRISTOS EUGENE VASSILIOU DO
Radiology (Diagnostic Radiology)
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Tulsa County (918) 728-6194
MUSKOGEE RADIOLOGICAL GROUP INC
Radiology (Diagnostic Radiology)
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Tulsa County (918) 728-6145
RUSSELL WAYNE ANDERSON DO
Emergency Medicine
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Tulsa County (918) 728-6145
JEREMY BEARDEN DO
Emergency Medicine
4500 S GARNETT RD, STE 919
TULSA, OK 74146
Tulsa County (918) 728-6145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Radiology's NPI number?

The NPI number for Providence Radiology is 1093771321. It was assigned to this organization in the NPPES registry on April 25, 2006.

Where is Providence Radiology located?

Providence Radiology is located at 4500 S Garnett Rd Ste 919, Tulsa, OK 74146. The listed phone number is (918) 728-6145.

What is Providence Radiology's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Providence Radiology was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.