Individual provider Active NPI

Phillip H Stratemeier, MD

  • Diagnostic Radiology Physician
  • Oklahoma City, OK
National Provider Identifier
1821081191
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12165 Issued in OK
Practice address
2224 NW 50TH St
Suite 276W
Oklahoma City, OK 73112-8046
Phone
(405) 858-2350
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12165 OK Primary

Addresses

Primary practice location

2224 NW 50TH St
Suite 276W
Oklahoma City, OK 73112-8046

Mailing address

2224 NW 50TH St
Suite 276W
Oklahoma City, OK 73112-8046
Phone (405) 858-2350

Other identifiers 1

IdentifierTypeStateIssuer
100184300AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
12165OKMDDiagnostic Radiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279238400000",
    "number": "1821081191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 NW 50TH ST",
            "address_2": "SUITE 276W",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128046",
            "telephone_number": "405-858-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 NW 50TH ST",
            "address_2": "SUITE 276W",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128046",
            "telephone_number": "405-858-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRATEMEIER",
        "first_name": "PHILLIP",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": "12165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100184300A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.