NPIMap

Individual provider Active NPI

Jonathan Ross Vanhooser, MD

  • Diagnostic Radiology Physician
  • Enid, OK
National Provider Identifier
1053377002
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16487 Issued in OK
Practice address
600 S Monroe St
Enid, OK 73701-7211
Phone
(580) 233-2300
Fax
(580) 548-1497
NPI assigned
Apr 26, 2006
Last updated
Apr 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 16487 OK Primary

Addresses

Primary practice location

600 S Monroe St
Enid, OK 73701-7211

Mailing address

5300 N Independence Ave
280
Oklahoma City, OK 73112-5556
Phone (580) 233-2300

Other identifiers 2

IdentifierTypeStateIssuer
100125450AMedicaidOK
P00328377OtherOKRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050613001221 OK Practitioner - Diagnostic Radiology 0547204455 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Oklahoma College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Associates IncGroup PAC ID 8820083645, 88 clinicians

Practice addresses (Care Compare)

744 W 9TH St
Tulsa, OK 74127-9020
Phone (918) 935-3550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Farmers Union Hospital Association CurrentSince Sep 7, 2017 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Feb 7, 2019 Accepting new patients
Farmers Union Hospital Association Current Accepting new patients
Diagnostic Imaging Associates Inc Diagnostic Radiology CurrentSince Aug 6, 2018 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Apr 8, 2015 Accepting new patients
Board of Regents of the University of Oklahoma - Ou Physicians CurrentSince Feb 7, 2019 Accepting new patients
Radiology Associates of Enid P C Diagnostic Radiology Past Accepting new patients

Locations

1800 W 1st St
Ste 3
Elk City, OK 73644
Phone (580) 225-4699

305 S 5th St
Enid, OK 73701
Phone (580) 233-6100

600 S Monroe St
Enid, OK 73701
Phone (580) 233-2300

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000

825 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-4864

940 NE 13th St
Oklahoma City, OK 73104
Phone (405) 271-2429

4500 S Garnett Rd
Ste 300
Tulsa, OK 74146
Phone (918) 392-2944

744 W 9th St
Tulsa, OK 74127
Phone (918) 587-2561

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1053377002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "580-233-2300",
            "fax_number": "580-548-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MONROE ST",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737017211",
            "telephone_number": "580-233-2300",
            "fax_number": "580-548-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOSER",
        "first_name": "JONATHAN",
        "middle_name": "ROSS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "16487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100125450A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00328377",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

Verify at the official NPI Registry.