Active NPI
Ronald E Nolley Jr., M.D.
- Diagnostic Radiology Physician
- Enid, OK
National Provider Identifier
1427004993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 20457
- Practice address
- 305 S 5TH St
Enid, OK 73701-5832 - Phone
- (580) 234-2878
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 20457 | OK | Primary |
Addresses
Primary practice location
305 S 5TH St
Enid, OK 73701-5832
Mailing address
720 W Maine Ave
Enid, OK 73701-5414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00324168 | Other | OK | RR MEDICARE |
| 100027580A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Temple University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
305 S 5TH St
Enid, OK 73701-5832
Phone (580) 233-6100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20457 | OK | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Area Radiological Consultants PA | Diagnostic Radiology | Past | Accepting new patients |
| Uhs of Oklahoma Inc | Diagnostic Radiology | Past | Accepting new patients |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Enid, OK
- NPI 1023063260
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- Diagnostic Radiology Physician
- Enid, OK
- NPI 1982795696
-
- Diagnostic Radiology Physician
- Medicine Lodge, KS
- NPI 1215997002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1427004993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 W MAINE AVE",
"city": "ENID",
"state": "OK",
"postal_code": "737015414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 S 5TH ST",
"city": "ENID",
"state": "OK",
"postal_code": "737015832",
"telephone_number": "580-234-2878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLLEY",
"first_name": "RONALD",
"middle_name": "E",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "20457",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00324168",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100027580A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Enid, OK
- Thomas Michael Nicholas, OD
- Clarissa Nichols
- Courtney Michelle Nicka, MHR, LPC
- Gabrielle Ann Nightingale, PTA
- Mike Glenn Nolen, M.D.
- Liam Connall Noone, IDMT
- Northern Oklahoma Diagnostic Imaging LTD
- Northern Oklahoma Resource Center of Enid
- Northern Oklahoma Resource Center of Enid Pharmacy
- Northern Oklahoma Sleep Diagnostic Center,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.