Active NPI
Radiology Associates of Eastern Oklahoma PLLC
- Diagnostic Radiology Physician
- Oklahoma City, OK
National Provider Identifier
1134432040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY ASSOCIATES OF EASTERN OKLAHOMA PLLC
- Practice address
- 3330 NW 56TH St
Suite 206
Oklahoma City, OK 73112-4479 - Phone
- (405) 945-4710
- Fax
- (405) 562-9242
- NPI assigned
- Jul 20, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula J Butler
- Title
- Business Manager
- Phone
- (405) 945-4741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3330 NW 56TH St
Suite 206
Oklahoma City, OK 73112-4479
Mailing address
3330 NW 56TH
Suite 206
Oklahoma City, OK 73112-4426
Phone (405) 945-4710
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200332530A | Medicaid | OK | |
| DR7722 | Other | OK | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
Locations
111 W Forrest Ave
Ste C
Eufaula, OK 74432
Phone (918) 490-7011
Dept 960593
Oklahoma City, OK 73196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318550400000",
"number": "1134432040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3330 NW 56TH",
"address_2": "SUITE 206",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124426",
"telephone_number": "405-945-4710",
"fax_number": "405-562-9242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3330 NW 56TH ST",
"address_2": "SUITE 206",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124479",
"telephone_number": "405-945-4710",
"fax_number": "405-562-9242"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY ASSOCIATES OF EASTERN OKLAHOMA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-20",
"last_updated": "2011-10-14",
"status": "A",
"authorized_official_last_name": "BUTLER",
"authorized_official_first_name": "PAULA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "405-945-4741"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200332530A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DR7722",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.