NPIMap

Individual provider Active NPI

Laurie J Hast, MD

  • Diagnostic Radiology Physician
  • Edmond, OK
National Provider Identifier
1063480333
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
19623 Issued in OK
Practice address
1208 Blue Wister CV
Edmond, OK 73013-1367
Phone
(405) 255-4519
NPI assigned
Mar 10, 2006
Last updated
May 11, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2011

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 19623 OK Primary

Addresses

Primary practice location

1208 Blue Wister CV
Edmond, OK 73013-1367

Mailing address

1208 Blue Wister CV
Edmond, OK 73013-1367
Phone (405) 255-4519

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
I20040302000564 OK Practitioner - Diagnostic Radiology 4981591203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Diagnostic Imaging LLCGroup PAC ID 9638327620, 5 clinicians

Practice addresses (Care Compare)

5800 N Portland Ave
Oklahoma City, OK 73112-1661
Phone (405) 601-4500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19623OKMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Diagnostic Imaging, LLC CurrentSince Jul 30, 2012 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Advanced Imaging LLC Diagnostic Radiology Past Accepting new patients
JCMH Healthcare Corporation Past Accepting new patients
Radadvantage a Professional Corporation Diagnostic Radiology Past Accepting new patients
Radiology Associates LLC Diagnostic Radiology Past Accepting new patients
Radiology Consultants, PC Diagnostic Radiology Past Accepting new patients

Locations

5800 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 255-4518

Organizations & group practices 7

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 9

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": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1063480333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BLUE WISTER CV",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131367",
            "telephone_number": "405-255-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 BLUE WISTER CV",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131367",
            "telephone_number": "405-255-4519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAST",
        "first_name": "LAURIE",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "19623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

Verify at the official NPI Registry.