Raindancer LLC Dba Doctors MRI

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

K3026 Issued in TX

Legal business name

RAINDANCER LLC DBA DOCTORS MRI

Practice address

5366 NW Cache Rd Ste 4
Lawton, OK 73505-3335

Phone

(580) 531-1200

Fax

(580) 531-1202

NPI assigned

Sep 3, 2008

Organization subpart

No

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

Authorized official

Name

Kevin E. Sutter

Title

President

Phone

(580) 354-1200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Doctors MRI Doing business as

Locations

Practitioners 1

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

• Richard Frederick Costello II, D.O.

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
  • NPI 1710936455
  NPD (past)

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1205084258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5366 N.W. CACHE RD. STE 4",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053335",
            "telephone_number": "580-354-1200",
            "fax_number": "580-354-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5366 NW CACHE RD STE 4",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053335",
            "telephone_number": "580-531-1200",
            "fax_number": "580-531-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINDANCER LLC DBA DOCTORS MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "SUTTER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "580-354-1200"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "K3026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200215350A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gabriel Quinones-Nazario, MD
• R. Brent Smith, M.D., Inc.
• Bandy Jo Rackley, RD, LD
• Katerina Rae, MS CF-SLP
• Christy Renee Ragsdale
• Jamaal Ramey
• Reginald Wayne Ramey
• Cecilio Rafael Ramirez-Rossy, M.D.
• Lorena I Ramirez, CF-SLP
• Shana S Ramirez, COTA L

• Diagnostic Radiology Physician in Lawton, OK
• Providers in Lawton, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; 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.