PK Xray Inc

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

701503 Issued in OK

Legal business name

PK XRAY INC

Practice address

347 S 37TH St
Muskogee, OK 74401-4906

Phone

(918) 683-9729

Fax

(918) 683-1012

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Lee Kizzia

Title

President

Phone

(918) 683-9729

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

PK Imaging Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• PK Imaging Center

  • Radiology Clinic/Center
  • Muskogee, OK
  • NPI 1346577798
  NPD tax ID

Locations

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310947200000",
    "number": "1508998808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S 37TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014906",
            "telephone_number": "918-683-9729",
            "fax_number": "918-683-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347 S 37TH ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744014906",
            "telephone_number": "918-683-9729",
            "fax_number": "918-683-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PK XRAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2011-07-18",
        "status": "A",
        "authorized_official_last_name": "KIZZIA",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-683-9729",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist",
            "state": "OK",
            "license": "701503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165224710",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200038030B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pittman Foot Specialists
• Larry Hale Pittman Jr., D.P.M.
• Christina Louise Pitts, PHARMD
• Joanie Pitts
• PK Imaging Center
• Platte Dialysis LLC
• Pleasant Valley Health Care Center, Inc
• Haley Elaine Poffel
• Chandrasekhar Polepalle, MD
• Lauren Polumbus

• Radiologic Technologist in Muskogee, OK
• Providers in Muskogee, OK by specialty
• Radiologic Technologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.