Individual provider Active NPI

James A. Waltermire, M.D.

  • Diagnostic Radiology Physician
  • Stillwater, OK
National Provider Identifier
1194708545
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9285 Issued in OK
Practice address
1301 W 6TH Ave
Suite 202
Stillwater, OK 74074-4375
Phone
(405) 743-0550
Fax
(405) 743-1704
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9285 OK Primary

Addresses

Primary practice location

1301 W 6TH Ave
Suite 202
Stillwater, OK 74074-4375

Mailing address

1301 W 6TH Ave
Suite 202
Stillwater, OK 74074-4375
Phone (405) 743-0550

Other identifiers 1

IdentifierTypeStateIssuer
A002OtherOKCHAMPUS

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater Radiology LLC Diagnostic Radiology CurrentSince Oct 1, 2005 Accepting new patients
PCH Radiology PC Diagnostic Radiology Past Accepting new patients

Locations

816 S Walnut St
Stillwater, OK 74074
Phone (405) 547-2743

4721 W 6th Ave
Ste 130
Stillwater, OK 74074

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194708545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 6TH AVE",
            "address_2": "SUITE 202",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744375",
            "telephone_number": "405-743-0550",
            "fax_number": "405-743-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 6TH AVE",
            "address_2": "SUITE 202",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744375",
            "telephone_number": "405-743-0550",
            "fax_number": "405-743-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERMIRE",
        "first_name": "JAMES",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "9285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "A002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stillwater, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.