Jeremy Theisen, MD
Diagnostic Radiology (CMS) · Ponca City, OK
At a glance
1900 N 14Th St, Ponca City, OK 74601-2035
Published activity: Skin biopsy. View counts and coverage
NPPES record updated Sep 23, 2025. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Medicare & insurance
Insurance participation is not established by these public records. Ask the practice and your insurer about your specific plan and this location.
How to check your coverage
Use your plan’s provider directory or the member-services number on your insurance card. Confirm the clinician, practice address, service, and whether a referral is required. A missing opt-out record does not establish Medicare acceptance.
Check the official Medicare directory ↗Practice location
1900 N 14Th StPonca City, OK 74601-2035
Additional reported practice locations
920 Sl Young BlvdOklahoma City, OK 731045036
Phone: 4052715963 920 Sl Young Blvd
Oklahoma City, OK 731045036
Phone: 4052715963 310 Salem Woodstown Rd
Salem, NJ 080792064
Phone: 8563396054
Fax: 8569356714 1 Capital Way
Pennington, NJ 085342520
Phone: 6093034000 750 Brunswick Ave
Trenton, NJ 086384143
Phone: 6093946000
Education & affiliations
- Medical / professional school
- Not reported in this file
- Graduation year
- 2012
- CMS specialties
- Diagnostic Radiology
Practice groups
- Alleviate Pain Specialists
- Arkansas Health Group
- Capital Health Multispecialty Group
- Insight Chicago Inc
- Inspira Health Network Medical Group Pc
- Lompoc Valley Medical Center
- Modesto Radiological Medical Group Inc
- Nrhs Radiology Associates
- Oklahoma Radiology Group P C
- Renaissance Medical Foundation
- San Antonio Radiological Medical
- St Jude Radiology Medical Group Inc
- Stillwater Medical Center Authority
- Stillwater Radiology Llc
- Temple Faculty Practice Plan Inc
- Universal Radiology Partners Of Nevada Llc
- Washington Radiologists Medical Group Inc
- West Valley Radiology Medical Group Inc
Reported hospital affiliations
- Integris Health Ponca City Ponca City, OK
- O U Medical Center Oklahoma City, OK
- Stillwater Medical - Perry Perry, OK
- Stillwater Medical Center Stillwater, OK
- Stillwater Medical-Blackwell Blackwell, OK
Graduation year does not establish years in practice. A reported affiliation does not establish employment, current admitting privileges, or insurance participation.
Source: CMS National Downloadable File · Published Oct 15, 2026.
Source: CMS Facility Affiliation Data · Published Oct 15, 2026.
Procedures in the public data
Reported activity can help you ask more informed questions about a practice’s services.
| Procedure category | Published Medicare activity |
|---|---|
| Skin biopsy | 1-10 |
CMS uses a one-year claims window with a reporting lag. Counts cover the Medicare activity included by CMS, not all patients. “1–10” is a published range. Volume is not a quality or outcomes score. Coverage and methodology
Source: CMS Utilization Data · Published Oct 15, 2026.
Find providers with a similar service mix
Compare 2024 published Medicare activity in the same reported specialty, here or in another city.
Industry-reported general payments
No matching general-payment summary in the imported release. This is not a verified zero and does not rule out other payment types or years.
Source: CMS 2025 payments grouped by covered recipient and nature of payments · Published Jun 30, 2026.
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Diagnostic Radiology (CMS)
- Taxonomy code
- 2085R0202X
- Enumeration date
- May 29, 2012
- Record updated
- Sep 23, 2025
More registry details
- Provider type
- Individual · Type 1
- Reported credentials
- MD
Reported taxonomies and licenses
2085R0202X
License reported: MD-23144 HI
207R00000X
License reported: 29296 OK
2085R0202X · Primary
License reported: 29296 OK
2085R0202X
License reported: 25IA12501900 NJ
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1900 N 14Th StPonca City, OK 74601-2035
- Phone
- (580) 765-0575
Mailing address
1900 N 14TH STPONCA CITY, OK 746012035
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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