FIDELIS RADIOLOGY INC. NPI 1770705915

NPI Information

NPI: 1770705915
Provider Name: FIDELIS RADIOLOGY, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
7718 E 91ST ST
SUITE 220
TULSA, OK
ZIP 74133
Phone: (918) 392-0720
Get Directions

FIDELIS RADIOLOGY, INC. is a diagnostic radiology radiology in Tulsa, OK. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. FIDELIS RADIOLOGY, INC. NPI is 1770705915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7718 E 91ST ST
SUITE 220
TULSA, OK
ZIP 74133-045
Phone: (918) 392-0720

The provider's authorized official is Brett H Kolman .
The authorized official title is President and has the following contact phone number (918) 392-0720.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 4/25/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	=========008	OTHER	OKLAHOMA	BCBS
2	DE8794	OTHER	OKLAHOMA	RAILROAD MEDICARE
3	100739530A	MEDICAID	OKLAHOMA
4	800522274	MEDICARE ID-TYPE UNSPECIFIED	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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