Muskogee Pet and Nuclear Imaging

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

MUSKOGEE PET AND NUCLEAR IMAGING

Practice address

3300 Chandler Rd
Suite #106
Muskogee, OK 74403-4909

Phone

(918) 686-7382

Fax

(918) 686-7995

NPI assigned

Jan 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy D Robison, M.D.

Title

Managing Partner

Phone

(918) 686-7382

Specialties & licenses 1

Addresses

Practitioners 1

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

• Edgar Morris Boyd Jr., M.D.

  • Otolaryngology Physician
  • Muskogee, OK
  • NPI 1235102948
  NPD (past)

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1194704494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 CHANDLER RD",
            "address_2": "SUITE #106",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034909",
            "telephone_number": "918-686-7382",
            "fax_number": "918-686-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CHANDLER RD",
            "address_2": "SUITE #106",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744034909",
            "telephone_number": "918-686-7382",
            "fax_number": "918-686-7995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSKOGEE PET AND NUCLEAR IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "918-686-7382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muskogee Medical Group PLLC (Muskogee Surgical Group)
• Muskogee Medical Group, LLC
• Muskogee Medical Inc
• Muskogee Pediatric Dental PLLC
• Muskogee Pediatrics and Family Health Solutions, LLC (Muskogee Pediatrics and Family Health Solutions)
• Muskogee Physician Group LLC
• Muskogee Physician Group LLC
• Muskogee Physician Group, LLC
• Muskogee Physicians Group LLC
• Muskogee Public Schools

• Physiological Laboratory in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Physiological Laboratory in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.