NEW AGE RADIOLOGY, PC (NPI# 1932508397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932508397 |
| Entity Type | Organization |
| Organization Name | NEW AGE RADIOLOGY, PC |
| Practice Address |
17923 N Portland Ave Edmond OK 73012-8960 |
| Mailing Address |
1050 E 2nd St #243 Edmond OK 73034-5313 |
| Practice Telephone | 4052130060 |
| Mailing Telephone | 4052130060 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Authorized Official Name | OGANES ASHIKYAN (PRESIDENT) |
| Authorized Official Telephone | 4052130060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
26854 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
17923 N PORTLAND AVE |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-8960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225378466 | Genesis Medical Services, LLC | Clinic/Center | 17923 N Portland Ave, Edmond, OK 73012-8960 | 2013-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629020995 | Musculoskeletal Imaging and Interventional LLC | Radiology | 1800 Renaissance Blvd, Second Floor, Edmond, OK 73013-3023 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932528015 | Oklahoma Life Access, Pllc | Radiology | 7519 S 49th West Ave, Tulsa, OK 74131-3402 | 2014-04-16 |
| 1013918317 | Ronald Ray Magee | Radiology | 5224 E I 240 Service Rd Ste 303, Oklahoma City, OK 73135-2607 | 2005-08-09 |
| 1609475888 | Christopher Michael Shy | Radiology | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2020-10-20 |
| 1770934960 | Thomas W White Md Pllc | Radiology | 1819 E 19th St, Suite 410, Tulsa, OK 74104-5407 | 2016-06-28 |
| 1477926640 | Pinnacle Interventional and Vascular Care LLC | Radiology | 1 Nw 64th St, Oklahoma City, OK 73116-9107 | 2015-11-09 |
| 1083001200 | Maunil Sheth | Radiology | 1200 Everett Dr, Oklahoma City, OK 73104-5047 | 2015-04-26 |
| 1710390869 | Timothy Aaron Graham | Radiology | 4200 W Memorial Rd Ste 212, Oklahoma City, OK 73120-8305 | 2014-06-06 |
| 1184047953 | Allure Medical Spa of Oklahoma, LLC | Radiology | 4700 W Urbana St, Broken Arrow, OK 74012-5997 | 2014-01-29 |
| 1265875918 | Maha Marwan Jarmakani | Radiology | 1200 Everett Dr, Chp 4g4200, Oklahoma City, OK 73104-5047 | 2013-04-12 |
| 1124319199 | Blake Preston Parsons | Radiology | 3200 Quail Springs Pkwy Ste 200, Oklahoma City, OK 73134-2699 | 2011-04-26 |
| Find all providers with the same taxonomy | ||||
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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.