Enid Radiology PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ENID RADIOLOGY PLLC

Practice address

305 S 5TH St
Enid, OK 73701-5832

Phone

(580) 234-2878

NPI assigned

May 24, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Philip Malone

Title

Administrative Manager

Phone

(405) 321-8125

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald E Nolley Jr., M.D.

  • Diagnostic Radiology Physician
  • Enid, OK
  • NPI 1427004993
  Medicare reassignment
• Jonathan Ross Vanhooser, MD

  • Diagnostic Radiology Physician
  • Enid, OK
  • NPI 1053377002
  Medicare reassignment
• Daniel Paul Saurborn, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1578548822
  NPD (past)
• Kenneth Tan Tan, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1306008834
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1023063260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737021847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S 5TH ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015832",
            "telephone_number": "580-234-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENID RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "405-321-8125"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DE9049",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200090890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enid Pain & Spine LLC
• Enid Pain and Spine
• Enid Pathology Consultants Inc
• Enid Pharmacy Management Inc
• Enid Public School
• Enid Senior Care LLC
• Enid Surgical Anesthesia LLC
• Enid Urology Associates, Inc
• Enid Urology Associates, Inc.
• Enid Vision Center PLLC

• Diagnostic Radiology Physician in Enid, OK
• Providers in Enid, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.