Individual provider Active NPI

Thomas Okulski, MD

  • Diagnostic Radiology Physician
  • Chattanooga, TN
National Provider Identifier
1952381600
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
ME-0027052 Issued in FL
Practice address
4300 N Access Rd
Suite D
Chattanooga, TN 37415-3812
Phone
(423) 826-1276
Fax
(423) 826-1290
NPI assigned
Jan 19, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 ME-0027052 FL Primary

Addresses

Primary practice location

4300 N Access Rd
Suite D
Chattanooga, TN 37415-3812

Mailing address

1395 S Pinellas Ave
Tarpon Springs, FL 34689-3790
Phone (941) 624-7032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051010000273 FL Practitioner - Diagnostic Radiology 4183649197 Practice locations: Port Charlotte, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME-0027052FLMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MRI Associates of Winter Haven LLC Diagnostic Radiology CurrentSince Jul 10, 2017 Accepting new patients
MRI Associates of Venice, LLC Diagnostic Radiology CurrentSince Jul 1, 2017 Accepting new patients
MRI Associates of Lakeland, LLC Diagnostic Radiology CurrentSince Sep 2, 2010 Accepting new patients
Imaging & Radiology Specialists, LLP Diagnostic Radiology Past Accepting new patients
Fawcett Medical Imaging PA Diagnostic Radiology Past Accepting new patients
Southwest Florida Emergency Management LLC Past Accepting new patients
Team Radiology Physicians, PA Diagnostic Radiology Past Accepting new patients

Locations

21186 Olean Blvd
Port Charlotte, FL 33952
Phone (941) 289-0705

409 E Central Ave
Winter Haven, FL 33880
Phone (863) 293-2144

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952381600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893790",
            "telephone_number": "941-624-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 N ACCESS RD",
            "address_2": "SUITE D",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153812",
            "telephone_number": "423-826-1276",
            "fax_number": "423-826-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKULSKI",
        "first_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME-0027052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.