NPIMap

Organization Active NPI

Area Radiological Consultants PA

  • Diagnostic Radiology Physician
  • Medicine Lodge, KS
National Provider Identifier
1215997002
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
AREA RADIOLOGICAL CONSULTANTS PA
Practice address
710 N Walnut St
Medicine Lodge, KS 67104-1019
Phone
(972) 526-0340
Fax
(972) 996-1857
NPI assigned
Mar 24, 2006
Last updated
Apr 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Authorized official

Name
John L Coyner, MD
Title
Owner
Phone
(972) 526-0342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X KS Primary

Addresses

Primary practice location

710 N Walnut St
Medicine Lodge, KS 67104-1019

Mailing address

PO Box 2189
Ponca City, OK 74602-2189
Phone (972) 526-0340

Other identifiers 3

IdentifierTypeStateIssuer
100722330AMedicaidOK
CO3641OtherRAILROAD MEDICARE
110166OtherKSBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

700 W 13th St
#5
Harper, KS 67058
Phone (620) 896-7306

308 Fairview
Ponca City, OK 74601
Phone (580) 765-9588

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366675200000",
    "number": "1215997002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2189",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746022189",
            "telephone_number": "972-526-0340",
            "fax_number": "972-996-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N WALNUT ST",
            "city": "MEDICINE LODGE",
            "state": "KS",
            "postal_code": "671041019",
            "telephone_number": "972-526-0340",
            "fax_number": "972-996-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AREA RADIOLOGICAL CONSULTANTS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-04-23",
        "status": "A",
        "authorized_official_last_name": "COYNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-526-0342",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100722330A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CO3641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "110166",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medicine Lodge, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.