Organization
OAKRIDGE MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRITZ PHANORD (BUSINESS OFFICE MANAGER)
(954) 958-0606
Entity
Organization
Contact information
Practice address
1000 NE 56TH ST, ATTN BUSINESS OFFICE, FORT LAUDERDALE, FL 33334-4149
(954) 958-0606
(954) 776-0821
Mailing address
1000 NE 56TH ST, ATTN BUSINESS OFFICE, FORT LAUDERDALE, FL 33334-4149
(954) 958-0606
(954) 776-0821
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
JR3583900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002536540 02
UNITED HLTHCR ID
FL
01
—
214355
AMERIGROUP PROVIDER ID
FL
01
—
221601
FDA#
FL
01
—
280077
AVMED PROVIDER ID
FL
01
—
498
TOTAL HLTH CHOICE ID
FL
01
—
7726045
AETNA PROVIDER ID
FL
01
—
SG067359
VISTA HLTHCR ID
FL
01
—
V2224
BC BS PROVIDER ID
FL
Enumeration date
01/23/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us