Active NPI
CT Center of Norman LLC
- Diagnostic Radiology Physician
- Norman, OK
National Provider Identifier
1376534693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- CT CENTER OF NORMAN LLC
- Practice address
- 1125 N Porter Ave
Suite 104
Norman, OK 73071-6443 - Phone
- (405) 895-7226
- NPI assigned
- Nov 4, 2005
- 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
- Debbie Johnston
- Title
- Operations Manager
- Phone
- (405) 321-8125
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1125 N Porter Ave
Suite 104
Norman, OK 73071-6443
Mailing address
PO Box 1369
Norman, OK 73070-1369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100748930A | Medicaid | OK |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Norman, OK
- NPI 1750357695
Member Of
Locations
1125 N Porter Ave
Ste 104
Norman, OK 73071
Phone (405) 579-8675
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Norman, OK
- NPI 1790766582
-
- Diagnostic Radiology Physician
- Oklahoma City, OK
- NPI 1518960459
-
- Diagnostic Radiology Physician
- Norman, OK
- NPI 1154302941
-
- Diagnostic Radiology Physician
- Columbia, SC
- NPI 1669458659
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209340800000",
"number": "1376534693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1369",
"city": "NORMAN",
"state": "OK",
"postal_code": "730701369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1125 N PORTER AVE",
"address_2": "SUITE 104",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716443",
"telephone_number": "405-895-7226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CT CENTER OF NORMAN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-04",
"last_updated": "2008-04-28",
"status": "A",
"authorized_official_last_name": "JOHNSTON",
"authorized_official_first_name": "DEBBIE",
"authorized_official_title_or_position": "OPERATIONS MANAGER",
"authorized_official_telephone_number": "405-321-8125"
},
"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": "100748930A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.