Organization Active NPI

Troy R Norred MD PC

  • Nuclear Radiology Physician
  • Ada, OK
National Provider Identifier
1912111238
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
20073 Issued in OK
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

Updated by the provider on Aug 7, 2009

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)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X 20073 OK Primary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X 20073 OK
Diagnostic Ultrasound PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200111640AMedicaidOK

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.