FIDELIS RADIOLOGY, INC. (NPI# 1770705915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770705915 |
| Entity Type | Organization |
| Organization Name | FIDELIS RADIOLOGY, INC. |
| Practice Address |
7718 E 91st St Suite 220 Tulsa OK 74133-6045 |
| Mailing Address |
P.o. Box 702586 Tulsa OK 74170 |
| Practice Telephone | 9183920720 |
| Mailing Telephone | 9183920720 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-04-25 |
| Authorized Official Name | BRETT H KOLMAN (PRESIDENT) |
| Authorized Official Telephone | 9183920720 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100739530A | 05 | |
| OK | RAILROAD MEDICARE | DE8794 | 01 |
| Street Address |
7718 E 91ST ST SUITE 220 |
| City | TULSA |
| State | OK |
| Zip Code | 74133-6045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578570966 | Eric Shane Curley | Chiropractor | 7718 E 91st St, Ste 100, Tulsa, OK 74133 | 2006-08-01 |
| 1528187564 | Ungerland Chiropractic Clinic | Chiropractor | 7718 E 91st St, Suite 100, Tulsa, OK 74133-6052 | 2007-03-29 |
| 1821172842 | Frank J. Ungerland IIi | Chiropractor | 7718 E 91st St, Suite 100, Tulsa, OK 74133-6052 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932725058 | Economy Pharmacy | Pharmacy | 10120 E 91st, Tulsa, OK 74133 | 2020-06-24 |
| 1710539424 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 9310 East 91st Street, Tulsa, OK 74133 | 2019-07-12 |
| 1003382060 | Carefirst Pharmacy Tulsa, Inc. | Pharmacy | 6214 S. Sheridan Rd, Tulsa, OK 74133 | 2018-10-17 |
| 1003397332 | Adekemi Taiwo | Nurse Practitioner | Hillcrest South Medical Plaza, 8803 S. 101 St E. Ave. Suite 350, Tulsa, OK 74133 | 2018-08-24 |
| 1346732013 | Lauren Nichols | Dentist | 7707 E 111th St Ste 105, Tulsa, OK 74133 | 2018-05-30 |
| 1699264259 | Courtney N Johnson, Pllc | Dentist | 7901 S Sheridan Rd Unit A, Tulsa, OK 74133 | 2018-05-08 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1851800825 | Seyva LLC | Clinic/Center | 8522 S 70th E Ave, Tulsa, OK 74133 | 2017-09-21 |
| 1477072031 | Amanda Dawn Long | Registered Nurse | 10507 E 91st St Ste 310, Tulsa, OK 74133 | 2017-09-14 |
| Find all providers in zip 74133 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442292 | Direct Medical Imaging LLC | Radiology | 5711 E 71st St Ste 100, Tulsa, OK 74136-6655 | 2020-06-24 |
| 1386933737 | Robert A Skib Md Pllc | Radiology | 305 S Kenosha Ave, Tulsa, OK 74120-2430 | 2011-04-06 |
| 1639302060 | Stephen Arthur Back | Radiology | 744 W. 9th St., Tulsa, OK 74127 | 2009-09-02 |
| 1427243641 | American Radiology Consultants Pllc | Radiology | 10537 S 92nd East Circle, Tulsa, OK 74133 | 2007-09-11 |
| 1215136361 | Colby James Coulson | Radiology | 7718 E 91st St Ste 220, Tulsa, OK 74133-6064 | 2007-07-17 |
| 1083738199 | Us Radiology Partners of Texas Inc | Radiology | 6129 S Louisville Ave, Tulsa, OK 74136-1502 | 2007-03-16 |
| 1841321668 | George Kamp | Radiology | 6422 S. Indianapolis Place, Tulsa, OK 74136-1421 | 2007-03-07 |
| 1326107624 | James R Webb Jr Md PC | Radiology | 6550 E. 71st Street, Suite 200, Tulsa, OK 74133-2773 | 2006-12-06 |
| 1972675817 | Richard Bliss Williams | Radiology | 2608 E 74th St, Tulsa, OK 74136-5557 | 2006-11-15 |
| 1669405023 | John Edward Kauth | Radiology | 2448 E Admiral Blvd, Tulsa, OK 74110-5323 | 2006-07-09 |
| Find all providers in TULSA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.