Organization Active NPI

Rudy S Fernandez MD PC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Edmond, OK
National Provider Identifier
1114193174
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
License
20140 Issued in OK
Legal business name
RUDY S FERNANDEZ MD PC
Practice address
1023 Waterwood Pkwy
Edmond, OK 73034-5324
Phone
(405) 513-7226
Fax
(405) 513-5620
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Authorized official

Name
Rodolfo Fernandez, MD
Title
Owner
Phone
(405) 513-7226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X 20140 OK Primary

Addresses

Primary practice location

1023 Waterwood Pkwy
Edmond, OK 73034-5324

Mailing address

1023 Waterwood Pkwy
Edmond, OK 73034-5324
Phone (405) 513-7226

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290556800000",
    "number": "1114193174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 WATERWOOD PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345324",
            "telephone_number": "405-513-7226",
            "fax_number": "405-513-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 WATERWOOD PKWY",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345324",
            "telephone_number": "405-513-7226",
            "fax_number": "405-513-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDY S FERNANDEZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2010-11-24",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-513-7226",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "OK",
            "license": "20140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2010; 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.