Active NPI
Heartland Imaging & Interventioanl Radiology
- Diagnostic Radiology Physician
- Tulsa, OK
National Provider Identifier
1255397832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- HEARTLAND IMAGING & INTERVENTIOANL RADIOLOGY
- Practice address
- 4500 S Garnett Rd
Ste 300
Tulsa, OK 74146-5229 - Phone
- (918) 664-9892
- Fax
- (918) 664-2521
- NPI assigned
- Apr 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clark Ward, MD
- Title
- President
- Phone
- (918) 664-9892
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
4500 S Garnett Rd
Ste 300
Tulsa, OK 74146-5229
Mailing address
4500 S Garnett Rd
Ste 300
Tulsa, OK 74146-5229
Phone (918) 664-9892
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200052410A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
5501 N Portland Ave
Oklahoma City, OK 73112
Phone (405) 604-6000
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1780640730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260316800000",
"number": "1255397832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD",
"address_2": "STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465229",
"telephone_number": "918-664-9892",
"fax_number": "918-664-2521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S GARNETT RD",
"address_2": "STE 300",
"city": "TULSA",
"state": "OK",
"postal_code": "741465229",
"telephone_number": "918-664-9892",
"fax_number": "918-664-2521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND IMAGING & INTERVENTIOANL RADIOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-24",
"last_updated": "2009-12-09",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "CLARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-664-9892",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200052410A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
- Heart of Christ Counseling, LLC (Strong Tower Counseling)
- Heart Therapy, PLLC
- Heart Youth & Family Therapy, Inc.
- Heartland Hospice Services, Inc. (Heartland Hospice Services)
- Heartland Hospice-Tulsa
- Heartland Medical Services LLC
- Heartland Microcurrent
- Heartland Recovery
- Heartland Resolution Therapy, LLC
- Heartroot Clinical Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.