Provider profile
IndividualJeremy Theisen
Radiology in Ponca City, OK. NPI 1881954501, listed in the CMS NPI Registry since 05/29/2012. Bills Medicare.
NPI 1881954501Specialty RadiologyEnumerated 05/29/2012
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Registry and Medicare facts
- Practice location
- 1900 N 14th St, Ponca City, OK 74601 CMS NPI Registry
- Specialty
- Radiology CMS NPI Registry
- Subspecialty
- Diagnostic Radiology CMS NPI Registry
- Enumeration date
- 05/29/2012 CMS NPI Registry
- Bills Medicare
- Yes CMS Medicare 2024
- Medicare patients
- 5,721 Part B CMS Medicare 2024
In the full profile
Locked- 240 procedure codesBilled HCPCS codes with volume and payments, CMS Medicare 2024
- 20 similar providersLook-alike providers in OK by patient mix and volume
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