ENID UROLOGY ASSOCIATES INC NPI 1942598628

NPI Information

NPI: 1942598628
Provider Name: ENID UROLOGY ASSOCIATES, INC
Classification: Radiology - 2085R0001X
Specialization: Radiation Oncology
Entity Type: Organization
Address: 609 VIRGINIA AVE
PONCA CITY, OK
ZIP 74601
Phone: (580) 233-3230

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NPI Details

ENID UROLOGY ASSOCIATES, INC is a radiation oncology radiology in Ponca City, OK. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. ENID UROLOGY ASSOCIATES, INC NPI is 1942598628. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

609 VIRGINIA AVE
PONCA CITY, OK
ZIP 74601-911
Phone: (580) 233-3230
Fax: (580) 233-0698

The provider's authorized official is Troy Albert Richards .
The authorized official title is Managing/treating Physician and has the following contact phone number (580) 233-3230.

The enumeration date for this NPI number is 7/15/2011 and was last updated on 3/7/2023.

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	2085R0001X	Radiology	Radiation Oncology		OKLAHOMA	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	24087	OTHER	OKLAHOMA	STATE LICENSE
2	32898	OTHER	OKLAHOMA	OBNDD
3	200037540A	MEDICAID	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: 3/30/2025

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