Active NPI
Comprehensive Specialty Care
- Neuroradiology Physician
- Edmond, OK
National Provider Identifier
1376244095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuroradiology Physician
- Legal business name
- COMPREHENSIVE SPECIALTY CARE
- Practice address
- 1700 S State St
Edmond, OK 73013-3633 - Phone
- (405) 601-2325
- Fax
- (405) 359-2491
- NPI assigned
- Mar 10, 2023
- 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
- Douglas Beall, MD
- Title
- Owner
- Phone
- (405) 607-2325
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 |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | Primary |
Addresses
Primary practice location
1700 S State St
Edmond, OK 73013-3633
Mailing address
1515 Tower Dr
Moore, OK 73160-6181
Phone (405) 307-6668
National Provider Directory
National Provider DirectoryLocations
1700 S State St
Edmond, OK 73013
Phone (405) 330-1003
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
- Edmond, OK
- NPI 1992757181
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678406400000",
"number": "1376244095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 TOWER DR",
"city": "MOORE",
"state": "OK",
"postal_code": "731606181",
"telephone_number": "405-307-6668",
"fax_number": "405-758-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S STATE ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730133633",
"telephone_number": "405-601-2325",
"fax_number": "405-359-2491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE SPECIALTY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A",
"authorized_official_last_name": "BEALL",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "405-607-2325",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Neuroradiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.