Active NPI
Ee Rad Ok, LLC
- Diagnostic Radiology Physician
- Ponca City, OK
National Provider Identifier
1487976304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- EE RAD OK, LLC
- Practice address
- 1900 N. 4TH Street
Ponca City, OK 74601 - Phone
- (703) 652-1200
- Fax
- (703) 880-7401
- NPI assigned
- Feb 19, 2010
- Organization subpart
- Yes
- Parent organization
- EAGLEEYE RADIOLOGY, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori Sittner
- Title
- Office Manager
- Phone
- (703) 652-1200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1900 N. 4TH Street
Ponca City, OK 74601
Mailing address
12100 Sunrise Valley Dr
Suite 290-B
Reston, VA 20191-3427
Phone (703) 652-1200
National Provider Directory
National Provider Directory- Part of
- Eagleeye Radiology Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1487976304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12100 SUNRISE VALLEY DR",
"address_2": "SUITE 290-B",
"city": "RESTON",
"state": "VA",
"postal_code": "201913427",
"telephone_number": "703-652-1200",
"fax_number": "703-880-7401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 N. 4TH STREET",
"city": "PONCA CITY",
"state": "OK",
"postal_code": "74601",
"telephone_number": "703-652-1200",
"fax_number": "703-880-7401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EE RAD OK, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "EAGLEEYE RADIOLOGY, INC",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "SITTNER",
"authorized_official_first_name": "LORI",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "703-652-1200"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponca City, OK
- Edwin Fair Community Mental Health Center
- Edwin Fair Community Mental Health Center Inc.
- Edwin Fair Community Mental Health Center, Inc.
- Edwin Fair Community Mental Health Center, Inc.
- Edwin Fair Community Mental Health Center, Inc.
- Sandra Lisette Eguia
- Ehp of Ponca City LLC
- Cynthia J Ehrlich
- Sheryl Lynn Eitzmann
- Kari L Elliott, DNP, CPNP-PC, AE-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.