Active NPI
Radiological Services, Inc
- Diagnostic Radiology Physician
- Bartlesville, OK
National Provider Identifier
1659311470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGICAL SERVICES, INC
- Practice address
- 3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411 - Phone
- (918) 333-7200
- NPI assigned
- Jun 8, 2006
- 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
- Michael Reburn, MD
- Title
- President
- Phone
- (918) 664-9892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Mailing address
PO Box 1748
Lowell, AR 72745-1748
Phone (855) 896-8451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100729150A | Medicaid | OK | |
| 100212370A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, KS
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
601 S High St
Caney, KS 67333
Phone (620) 879-2182
412 E 5th St
Bartlesville, OK 74003
Phone (918) 336-7211
457 Laurence Dr
Ste 444
Heath, TX 75032
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Bartlesville, OK
- NPI 1679530398
-
- Diagnostic Radiology Physician
- Tulsa, OK
- NPI 1063478113
-
- Diagnostic Radiology Physician
- Bartlesville, OK
- NPI 1689631533
-
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1831139609
-
- Vascular & Interventional Radiology Physician
- Miami, FL
- NPI 1982730909
-
- Diagnostic Radiology Physician
- Salida, CO
- NPI 1982753356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541980800000",
"number": "1659311470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1748",
"city": "LOWELL",
"state": "AR",
"postal_code": "727451748",
"telephone_number": "855-896-8451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 E FRANK PHILLIPS BLVD",
"city": "BARTLESVILLE",
"state": "OK",
"postal_code": "740062411",
"telephone_number": "918-333-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGICAL SERVICES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-08",
"last_updated": "2018-11-12",
"status": "A",
"authorized_official_last_name": "REBURN",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "918-664-9892",
"authorized_official_credential": "MD"
},
"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": "100729150A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100212370A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bartlesville, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.