Individual provider Active NPI

Erika N Alfaro Marshall, RADIOLOGY TECHNICIAN

  • Body Imaging Physician
  • Tulsa, OK
National Provider Identifier
1124186820
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
389242 Issued in OK
Practice address
1334 N Lansing
Tulsa, OK 74106
Phone
(918) 587-2171
Fax
(918) 295-6149
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 389242 OK Primary

Addresses

Primary practice location

1334 N Lansing
Tulsa, OK 74106

Mailing address

1334 N Lansing
Tulsa, OK 74106
Phone (918) 587-2171

Other identifiers 4

IdentifierTypeStateIssuer
37-1832OtherOKMEDICARE
389242OtherOKLICENSE NUMBER
37-1834OtherOKMEDICARE
37-1803OtherOKMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
389242OKMDBody Imaging Physician

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198713600000",
    "number": "1124186820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 N LANSING",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74106",
            "telephone_number": "918-587-2171",
            "fax_number": "918-295-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 N LANSING",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74106",
            "telephone_number": "918-587-2171",
            "fax_number": "918-295-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFARO MARSHALL",
        "first_name": "ERIKA",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "RADIOLOGY TECHNICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "OK",
            "license": "389242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "37-1832",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "389242",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "37-1834",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "37-1803",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.