New Age Radiology, PC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

26854 Issued in OK

Legal business name

NEW AGE RADIOLOGY, PC

Practice address

17923 N Portland Ave
Edmond, OK 73012-8960

Phone

(405) 213-0060

NPI assigned

Aug 21, 2014

Organization subpart

No

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

Authorized official

Name

Oganes Ashikyan, MD

Title

President

Phone

(405) 213-0060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408579200000",
    "number": "1932508397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E 2ND ST",
            "address_2": "#243",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345313",
            "telephone_number": "405-213-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17923 N PORTLAND AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730128960",
            "telephone_number": "405-213-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE RADIOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-08-21",
        "status": "A",
        "authorized_official_last_name": "ASHIKYAN",
        "authorized_official_first_name": "OGANES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-213-0060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "OK",
            "license": "26854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; 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.