DR. MANUEL CORREA FORTES (NPI# 1962639757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962639757 |
| Entity Type | Individual |
| Full Name | DR. MANUEL CORREA FORTES |
| Credential | M.D. |
| Practice Address |
3300 Nw Expressway Fl 2 Oklahoma City OK 73112-4418 |
| Mailing Address |
5300 N Independence Ave Ste 280 Oklahoma City OK 73112-5555 |
| Practice Telephone | 4059493417 |
| Practice Fax Number | 4055525165 |
| Mailing Telephone | 4059493417 |
| Mailing Fax Number | 4055525165 |
| Enumeration Date | 2009-06-18 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
29696 | OK | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
LL31893 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200489330A | 05 |
| Street Address |
3300 NW EXPRESSWAY FL 2 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73112-4418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485643 | Kenneth R Stokes | Radiology | 3300 Nw Expressway Fl 2, Oklahoma City, OK 73112-4418 | 2005-05-24 |
| 1811268535 | Jill L Miller | Physician Assistant | 3300 Nw Expressway Fl 2, Oklahoma City, OK 73112-4418 | 2012-01-26 |
| 1609833565 | Vance Edmond Mccollom | Radiology | 3300 Nw Expressway Fl 2, Oklahoma City, OK 73112-4418 | 2006-04-26 |
| 1245233113 | Susan D Worsham | Physician Assistant | 3300 Nw Expressway Fl 2, Oklahoma City, OK 73112-4418 | 2005-05-24 |
| 1295738110 | Roger D Hellwege | Physician Assistant | 3300 Nw Expressway Fl 2, Oklahoma City, OK 73112-4418 | 2005-05-24 |
| 1063415958 | Stephen P Lee | Radiology | 3300 Nw Expressway Fl 2, Oklahoma City, OK 73112-4418 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
| 1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
| 1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
| 1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
| 1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
| 1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
| 1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
| 1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
| 1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
| 1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
| Find all providers in zip 73112 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1528200466 | Keri Conner | Radiology | 940 Ne 13th St, Ouhsc, Garrison Tower, Suite 4250, Oklahoma City, OK 73104-5008 | 2009-03-24 |
| 1497951719 | Scott Douglass Prater | Radiology | 1000 N Lee Ave, 4th Floor, Oklahoma City, OK 73102-1036 | 2007-06-23 |
| 1447452560 | Chad Thompson | Radiology | 3330 Nw 56th St, Suite 206, Oklahoma City, OK 73112-4479 | 2007-06-01 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73112 |
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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.