Diagnostic Orthopedic Group LLC
NPI 1063169514ActiveOrganization· Radiology, Diagnostic Radiology· Edmond, OK
Radiology, Diagnostic Radiology in Edmond, Oklahoma, registered in NPPES in March 2022. The authorized official on file is Joel Mark Davis, MD,PHD, Managing Member.
Overview
| NPI | 1063169514 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 4, 2022 |
| Last updated in NPPES | Mar 20, 2026 |
| Certified by provider | Mar 20, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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