Active NPI
Troy R Norred MD PC
- Nuclear Radiology Physician
- Ada, OK
National Provider Identifier
1912111238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 20073
- Legal business name
- TROY R NORRED MD PC
- Practice address
- 3012 Arlington St
Ada, OK 74820-3073 - Phone
- (405) 948-4040
- NPI assigned
- May 9, 2007
- 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
- Paul Szymanski
- Title
- Ceo
- Phone
- (405) 917-3528
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 20073 | OK | Primary |
| Diagnostic Radiology Physician | 2085R0202X | 20073 | OK | |
| Diagnostic Ultrasound Physician | 2085U0001X | 20073 | OK |
Addresses
Primary practice location
3012 Arlington St
Ada, OK 74820-3073
Mailing address
3545 NW 58TH St
Ste 450
Oklahoma City, OK 73112-4726
Phone (580) 272-0715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200111640A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
3012 Arlington St
Ada, OK 74820
Phone (580) 272-0715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249603200000",
"number": "1912111238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 NW 58TH ST",
"address_2": "STE 450",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731124726",
"telephone_number": "580-272-0715",
"fax_number": "580-272-0771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 ARLINGTON ST",
"city": "ADA",
"state": "OK",
"postal_code": "748203073",
"telephone_number": "405-948-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TROY R NORRED MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2009-08-07",
"status": "A",
"authorized_official_last_name": "SZYMANSKI",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-917-3528"
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": "OK",
"license": "20073",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "OK",
"license": "20073",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "OK",
"license": "20073",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200111640A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.