Jetrad LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

JETRAD LLC

Practice address

5825 Tulakes Ave
Bethany, OK 73008-7009

Phone

(405) 709-1043

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Alex Avery Weeks

Title

President

Phone

(405) 789-3889

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Daniel C Bennett, MD

  • Diagnostic Radiology Physician
  • Tyler, TX
  • NPI 1205809076
  NPD (past)
• Kevin Hamm, DO,PA

  • Diagnostic Radiology Physician
  • Chanute, KS
  • NPI 1578657623
  NPD (past)
• Paul L Rodriguez, MD

  • Diagnostic Radiology Physician
  • Wichita, KS
  • NPI 1841209236
  NPD (past)
• Stephanie Dawn Runyan, DO

  • Diagnostic Radiology Physician
  • Edina, MN
  • NPI 1740351543
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073537692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 TULAKES AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730087009",
            "telephone_number": "405-709-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 TULAKES AVE",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730087009",
            "telephone_number": "405-709-1043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JETRAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-789-3889"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J Andrew McKamie DDS PC
• James M Gilbert MD PC
• Janice L. Hendryx
• Heather Jarvis, M.S., CCC-SLP
• Misty Dawn Jennings, LPC
• Joanna Lambert, LLC
• Mary Johns, DPT
• Keneise Johnson, BA
• Kevin Robert Johnson, MOT, OTR/L
• Lance Cordell Johnson

• Diagnostic Radiology Physician in Bethany, OK
• Providers in Bethany, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.