| Stephanie Elaine Kelly, DO | |
|
5801 E 41st St, Tulsa, OK 74135-5618 | |
| (918) 743-8943 | |
| (918) 743-8552 |
| Full Name | Stephanie Elaine Kelly |
|---|---|
| Gender | Female |
| Speciality | Radiology - Diagnostic Radiology |
| Location | 5801 E 41st St, Tulsa, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598721755 | NPI | - | NPPES |
| 200031830B | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A-2464-21 (New Mexico) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 3749 (Oklahoma) | Primary |
| Entity Name | Oklahoma Radiology Group P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841283165 PECOS PAC ID: 9032101688 Enrollment ID: O20040401001538 |
| Entity Name | Tulsa Radiology Associates, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871574509 PECOS PAC ID: 1658260492 Enrollment ID: O20040505000680 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Elaine Kelly, DO 5801 E 41st St, Tulsa, OK 74135-5618 Ph: (918) 743-8943 | Stephanie Elaine Kelly, DO 5801 E 41st St, Tulsa, OK 74135-5618 Ph: (918) 743-8943 |
Jonathan Cross, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Dr. Kim R Hauger, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-747-4975 Fax: 918-743-8552 | |
Nina Jones, MD Radiology Medicare: Medicare Enrolled Practice Location: 4500 S Garnett Rd Ste 300, Tulsa, OK 74146 Phone: 918-728-6194 | |
Dr. Leila Danielle See, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 744 W 9th St, Tulsa, OK 74127 Phone: 981-599-5031 | |
Christopher Roman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4500 S Garnett Rd Ste 112, Tulsa, OK 74146 Phone: 918-935-3550 | |
Dr. Erik Edward Paulson, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-934-8347 Fax: 918-743-8552 | |
Dr. Phillip Osborn Flinn, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 5801 E 41st St Ste 900, Tulsa, OK 74135 Phone: 918-934-8347 Fax: 918-743-8552 |