Spectrum Imaging PLLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SPECTRUM IMAGING PLLC

Practice address

300 Rockefeller Dr
Muskogee, OK 74401-5075

Phone

(918) 684-2189

NPI assigned

Jan 4, 2011

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry A Tretheway

Title

Manager

Phone

(405) 486-7250

Specialties & licenses 1

Addresses

Other names 1

• IMAGING SERVICES OF OKLAHOMA PLLC Former legal business name

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

{
    "created_epoch": "1294099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1275837379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21228",
            "address_2": "DEPT 130",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741211228",
            "telephone_number": "405-486-7250",
            "fax_number": "706-653-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 ROCKEFELLER DR",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015075",
            "telephone_number": "918-684-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM IMAGING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-04",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "TRETHEWAY",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "405-486-7250"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMAGING SERVICES OF OKLAHOMA PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michael Gene Spain, M.D.
• Tony William Spatz, M.D.
• Kendall Wayne Spears, BGS,BHRS
• Susan Spears
• Misty D. Specht-Pilgrim, R.D., L.D.
• Nicole Sturm Speir, DPH
• Sandra Spiegel
• Jessie Spradlin
• Leah Michelle Spradlin
• Karen Frances Sprick, RD, LD

• Diagnostic Radiology Physician in Muskogee, OK
• Providers in Muskogee, 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 Mar 15, 2017; 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.