Search › Oklahoma › 2085R0202X
Jeremy Theisen, MD
NPI 1881954501 · on the registry since 2012
Practice
- Address
- 1900 N 14th St
Ponca City, OK 74601 - Phone
- (580) 765-0575
- Organisation at this address
- Allrad Pllc
Pch Radiology Pc
Nes Oklahoma, Inc.
Ehp Of Ponca City Llc
Clinical Colleagues IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 29
Additional practice sites
- 920 Sl Young Blvd, Oklahoma City, OK
- 920 Sl Young Blvd, Oklahoma City, OK
- 310 Salem Woodstown Rd, Salem, NJ
- 1 Capital Way, Pennington, NJ
- 750 Brunswick Ave, Trenton, NJ
Registry record
- Primary taxonomy
- 2085R0202X
2085R0202X
- Also registered as
- 2085R0202X
207R00000X
2085R0202X - Licence states on file
- HI, OK, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma