Active NPI
James Lawrence Fleckenstein, M.D.
- Diagnostic Radiology Physician
- Tulsa, OK
National Provider Identifier
1245280312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 23288
- Practice address
- 11436 S Louisville PL
Tulsa, OK 74137-1647 - Phone
- (918) 523-7226
- Fax
- (918) 518-5136
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 23288 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | 23288 | OK | Primary |
Addresses
Primary practice location
11436 S Louisville PL
Tulsa, OK 74137-1647
Mailing address
11436 S Louisville PL
Tulsa, OK 74137-1647
Phone (918) 523-7226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200014870A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23288 | OK | MD | Neuroradiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foundation Radiology Group PC | Diagnostic Radiology | Current | Accepting new patients |
| Elite Imaging, LLC | Diagnostic Radiology | Past | Accepting new patients |
| Powers Radiology, PC | Neuroradiology | Past | Accepting new patients |
Locations
908 N Rockford Rd
Ste C
Ardmore, OK 73401
Phone (580) 223-7226
3509 French Park Dr
Ste E
Edmond, OK 73034
Phone (405) 285-6901
3400 W Hefner Rd
Oklahoma City, OK 73120
Phone (405) 418-0900
7712 S Yale Ave
Ste 120
Tulsa, OK 74136
Phone (918) 523-7226
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Edmond, OK
- NPI 1962485524
-
- Radiology Clinic/Center
- Oklahoma City, OK
- NPI 1962768143
-
- Diagnostic Radiology Physician
- Aventura, FL
- NPI 1942208319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315526400000",
"number": "1245280312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11436 S LOUISVILLE PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741371647",
"telephone_number": "918-523-7226",
"fax_number": "918-518-5136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11436 S LOUISVILLE PL",
"city": "TULSA",
"state": "OK",
"postal_code": "741371647",
"telephone_number": "918-523-7226",
"fax_number": "918-518-5136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLECKENSTEIN",
"first_name": "JAMES",
"middle_name": "LAWRENCE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2011-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OK",
"license": "23288",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "23288",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200014870A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.