Foundation Radiology Group PC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

FOUNDATION RADIOLOGY GROUP PC

Practice address

3509 French Park Dr Ste E
Edmond, OK 73034-7291

Phone

(405) 285-6901

Fax

(405) 285-6902

NPI assigned

Nov 28, 2005

Organization subpart

No

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

Authorized official

Name

Jeffrey L Watts, MDNPI 1912981499

Title

Owner, Physician

Phone

(405) 285-6901

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Vantage Open MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Oklahoma City, OK
  • NPI 1942239702

  Member Of

  NPD member

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey L. Watts, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1912981499
  Medicare reassignment Care Compare group NPD Authorized official
• James Keith Cooper, M.D.

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1306985569
  Medicare reassignment Care Compare group NPD
• James Lawrence Fleckenstein, M.D.

  • Diagnostic Radiology Physician
  • Tulsa, OK
  • NPI 1245280312
  Medicare reassignment NPD
• Kenneth Eugene Harper, MD

  • Diagnostic Radiology Physician
  • Edmond, OK
  • NPI 1972551455
  NPD (past)

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1962485524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 FRENCH PARK DR STE E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347291",
            "telephone_number": "405-285-6901",
            "fax_number": "405-285-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 FRENCH PARK DR STE E",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730347291",
            "telephone_number": "405-285-6901",
            "fax_number": "405-285-6902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATION RADIOLOGY GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "405-285-6901",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unique Foster
• Foundation Bariatric Hospital of Oklahoma
• Foundation Bariatric Hospital of Oklahoma, LLC
• Foundation Medical Staffing
• Foundation Medical Staffing
• Foundation Weightwise Services, LLC
• Steven Shawn Fowler, LPC
• Kimberly A Fox, MS, CCC-SLP
• Rachel Fox
• Gricelda Fragoso, PSY.D.

• Diagnostic Radiology Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Diagnostic Radiology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.