Southeastern Radiology P.C.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

SOUTHEASTERN RADIOLOGY P.C.

Practice address

1 E Clark Bass Blvd
McAlester, OK 74501-4209

Phone

(918) 423-3602

NPI assigned

Nov 22, 2005

Organization subpart

No

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

Authorized official

Name

Philip Malone

Title

Administrative Manger

Phone

(405) 321-8125

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bruce E. O'Brien, M.D.

  • Diagnostic Radiology Physician
  • McAlester, OK
  • NPI 1790768919
  NPD (past)
• Donald H Shuller, M.D.

  • Diagnostic Radiology Physician
  • McAlester, OK
  • NPI 1912980137
  NPD (past)
• Kathy L Wyant, M.D.

  • Diagnostic Radiology Physician
  • Norman, OK
  • NPI 1497738629
  NPD (past)

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1467435693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745020758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E CLARK BASS BLVD",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014209",
            "telephone_number": "918-423-3602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN RADIOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-22",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANGER",
        "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": "100746920A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Medical Laboratory, Inc
• Southeastern Neurology, PC
• Southeastern Oklahoma Social Services Inc.
• Southeastern Psychiatric Services
• Southeastern Psychiatric Services LLC
• Southern Oklahoma Treatment Services, Inc.
• Southern Oklahoma Treatment Services, Inc.
• Southern Oklahoma Treatment Services, Inc.
• Southern Respiratory Service, LLC
• Nancy Sparks, BHR

• Diagnostic Radiology Physician in McAlester, OK
• Providers in McAlester, 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 Jun 2, 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.

Verify at the official NPI Registry.