Panhandle Radiology PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

23914 Issued in OK

Legal business name

PANHANDLE RADIOLOGY PLLC

Practice address

350 NE 12TH St
Guymon, OK 73942-3624

Phone

(580) 338-6515

Fax

(580) 225-5423

NPI assigned

Aug 9, 2007

Last updated

Aug 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert A Williams, MDNPI 1073553202

Title

Physician Owner

Phone

(580) 338-6515

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Specialty Clinics of St Anne PLLC

  • Internal Medicine Physician
  • Guymon, OK
  • NPI 1356360473

  Member Of

  NPD member

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Damon Lee Brooks, D.O.

  • Diagnostic Radiology Physician
  • Broken Arrow, OK
  • NPI 1558583963
  Medicare reassignment Care Compare group NPD
• Jeremy Scott Fullingim, D.O.

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1255537304
  Medicare reassignment Care Compare group NPD
• Julia Dry Knarreborg, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1952662363
  Medicare reassignment Care Compare group NPD
• Jeffrey Wayne Shelton, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1194864074
  Medicare reassignment Care Compare group NPD
• Blake Weaver, D.O.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1497785893
  Medicare reassignment Care Compare group NPD
• Laura M Young, MD

  • Diagnostic Radiology Physician
  • Midwest City, OK
  • NPI 1720048267
  Medicare reassignment Care Compare group NPD
• Alfred C Degner, MD

  • Diagnostic Radiology Physician
  • Midwest City, OK
  • NPI 1891755294
  Medicare reassignment NPD
• Shawn D Grant, MD

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1043214497
  Medicare reassignment NPD
• Bart Michael-Lane Rowlett, MD

  • Diagnostic Radiology Physician
  • Midwest City, OK
  • NPI 1104945526
  Medicare reassignment NPD
• David Herschel Berns, MD

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1518924737

  OK

  Medicare reassignment NPD
• Robert A Williams, M.D.

  • Diagnostic Radiology Physician
  • Guymon, OK
  • NPI 1073553202
  Authorized official Same address or phone

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692748800000",
    "number": "1104018571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739421030",
            "telephone_number": "580-338-6515",
            "fax_number": "580-225-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NE 12TH ST",
            "city": "GUYMON",
            "state": "OK",
            "postal_code": "739423624",
            "telephone_number": "580-338-6515",
            "fax_number": "580-225-5423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANHANDLE RADIOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "580-338-6515",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "23914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Management Associates LC
• Panhandle Counseling & Health Center Inc
• Panhandle Counseling & Health Center, Inc. (Panhandle Health Center)
• Panhandle Counseling & Health Center, Inc. (Panhandle Pathways)
• Panhandle Home Health & Hospice, Inc. (Guymon Home Health & Hospice)
• Panhandle Services for Children, Inc
• Panhandle Sleep Disorders Center LLC
• Panhandle Speech Therapy PLLC
• Panhandle Womens Center P L L C
• Parkview Pharmacy Inc (Parkview Pharmacy)

• Diagnostic Radiology Physician in Guymon, OK
• Providers in Guymon, 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 23, 2023; 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.