Patrick David Lester, MD

Key facts

NPI

1255415477

Entity type

Individual (NPI type 1)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

License

8530 (OK)

Practice address

1761 N Aspen Ave
Broken Arrow, OK 74012-1197

Phone

(918) 496-5000

Fax

(917) 496-5263

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

Yes

Organizations & group practices 3

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.

• Ctca Physicans Group of Oklahoma, Inc Specialist · Tulsa, OK · NPI 1053309591
  NPD (past)
• Fidelis Radiology, Inc. Diagnostic Radiology Physician · Tulsa, OK · NPI 1770705915
  NPD (past) DIAGNOSTIC RADIOLOGY
• Pmo Medical PLLC Pain Medicine (Physical Medicine & Rehabilitation) Physician · McAlester, OK · NPI 1437638228
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2010.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1255415477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121197",
            "telephone_number": "918-496-5000",
            "fax_number": "917-496-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 N ASPEN AVE",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121197",
            "telephone_number": "918-496-5000",
            "fax_number": "917-496-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LESTER",
        "first_name": "PATRICK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "8530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-AIRCO",
            "identifier": "300074002",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-CHERRY",
            "identifier": "3000074003",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14483672064",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Broken Arrow, OK · Diagnostic Radiology Physician in Oklahoma