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Enid Urology Associates, Inc

Organization Active NPI Radiation Oncology Physician · Ponca City, OK

NPI 1942598628 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1942598628
Entity type
Organization (NPI type 2)
Primary specialty
Radiation Oncology Physician 2085R0001X
Legal business name
ENID UROLOGY ASSOCIATES, INC
Practice address
609 Virginia Ave
Ponca City, OK 74601-2911
Phone
(580) 233-3230
Fax
(580) 233-0698
NPI assigned
Jul 15, 2011
Organization subpart
Yes
Parent organization (as reported)
ENID UROLOGY ASSOCIATES, INC

Authorized official

Name
Dr. Troy Albert Richards, MD
Title
Managing/Treating Physician
Phone
(580) 233-3230

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Roger W Timmpa (3 organizations share this tax ID)
Part of
Roger W Timmpa

Locations

609 Virginia Ave
Ponca City, OK 74601
Phone (580) 767-1300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 2085R0001X OK Yes

Addresses

Primary practice location

609 Virginia Ave
Ponca City, OK 74601-2911

Mailing address

615 E Oklahoma Ave
Ste 202
Enid, OK 73701-5951
Phone (580) 233-3230

Other identifiers

IdentifierTypeStateIssuer
24087OtherOKSTATE LICENSE
32898OtherOKOBNDD
200037540AMedicaidOK

Other providers in Ponca City, OK

All providers in Ponca City, OK · Radiation Oncology Physician in Oklahoma

Sources for this page

Verify at the official NPI Registry.