NPIMap

Organization Active NPI

McAlester Pet Associates LLC

  • Radiology Clinic/Center
  • McAlester, OK
National Provider Identifier
1992963474
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
MCALESTER PET ASSOCIATES LLC
Practice address
10 S 3Rd St
Ste 100
McAlester, OK 74501-5319
Phone
(918) 426-5656
Fax
(918) 426-5757
NPI assigned
May 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Mr. Derek M Prentice
Title
Managing Member
Phone
(405) 418-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

10 S 3Rd St
Ste 100
McAlester, OK 74501-5319

Mailing address

11101 Hefner Pointe Dr
#216
Oklahoma City, OK 73120-5054
Phone (405) 418-2200

National Provider Directory

National Provider Directory

Locations

10 S 3rd St
Ste 100
McAlester, OK 74501
Phone (918) 426-5656

11101 Hefner Pointe Dr
Ste 216
Oklahoma City, OK 73120

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1992963474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR",
            "address_2": "#216",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205054",
            "telephone_number": "405-418-2200",
            "fax_number": "405-418-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S 3RD ST",
            "address_2": "STE 100",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745015319",
            "telephone_number": "918-426-5656",
            "fax_number": "918-426-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCALESTER PET ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-418-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAlester, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.