PONCA CITY OPEN MRI, LLC (NPI# 1912983719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912983719 |
| Entity Type | Organization |
| Organization Name | PONCA CITY OPEN MRI, LLC |
| Practice Address |
2112 N 14th St Ponca City OK 74601-1829 |
| Practice Telephone | 5807626740 |
| Practice Fax Number | 5807629627 |
| Mailing Telephone | 5807626740 |
| Mailing Fax Number | 5807629627 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2011-02-01 |
| Authorized Official Name | MR. CLINTON LOCKE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5807626740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M1202X |
Radiologic Technologist Specialization: Magnetic Resonance Imaging |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 7187533301 | 05 | |
| OK | 100836750A | 05 |
| Street Address |
2112 N 14TH ST |
| City | PONCA CITY |
| State | OK |
| Zip Code | 74601-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245867258 | Triad Health Systems LLC | Family Medicine | 2703 N 14th St, Ponca City, OK 74601 | 2020-03-27 |
| 1679096952 | Gabrielle Evangeline Barnes | Case Manager/Care Coordinator | 620 W. Grand, Ponca City, OK 74601 | 2017-07-19 |
| 1942722889 | Kimbra Leigh Anderson | Case Manager/Care Coordinator | 1500 N. 6th, Ponca City, OK 74601 | 2017-07-12 |
| 1033631965 | Kayla Patten | Case Manager/Care Coordinator | 620 W Grand, Ponca, OK 74601 | 2017-07-12 |
| 1639601859 | Affordable Dental | Dentist | 1618 N 5th St Ste 4, Ponca City, OK 74601 | 2017-03-28 |
| 1447627237 | Harold Jason Laughlin Jr. | Chiropractor | 222 E. Grand, Ste. 309, Ponca City, OK 74601 | 2015-08-27 |
| 1578947875 | Jessica James | Social Worker | 1500 N 6th, Ponca City, OK 74601 | 2015-07-16 |
| 1639565153 | Ryian Reyes | Point of Service | 2101 N 14th, Suite 134, Ponca City, OK 74601 | 2015-04-10 |
| 1003253006 | Proving Faithful Investments Inc. | Home Health | 205 W. Hartford Avenue #112, Ponca City, OK 74601 | 2013-05-30 |
| 1427365899 | Quint Allen Whitefield | Dentist | 1618 N. 5th Street, Suite #2, Ponca City, OK 74601 | 2010-09-08 |
| Find all providers in zip 74601 | ||||
| Taxonomy Code | 2471M1202X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Magnetic Resonance Imaging |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457372492 | Opensided Mri of Oklahoma City LLC | Radiologic Technologist | 3500 Nw 56th St, St 105, Oklahoma City, OK 73112-4517 | 2006-07-23 |
| 1124086806 | Oklahoma Medical Specialists, LLC | Radiologic Technologist | 8121 National Ave, Suite 150, Midwest City, OK 73110-7530 | 2006-05-03 |
| City | PONCA CITY |
| Zip Code | 74601 |
Please comment or provide details below to improve the information on PONCA CITY OPEN MRI, LLC.
| 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.