Individual provider · Type 1 NPI

Jeremy Theisen, MD

Diagnostic Radiology Physician · Ponca City, OK

NPI number 1881954501 Active

Practice location

1900 N 14th St
Ponca City, OK 74601-2035

Other practice locations

  • 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 · (405) 271-5963
  • 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 · (405) 271-5963
  • 310 Salem Woodstown Rd, Salem, NJ 08079-2064 · (856) 339-6054
  • 1 Capital Way, Pennington, NJ 08534-2520 · (609) 303-4000
  • 750 Brunswick Ave, Trenton, NJ 08638-4143 · (609) 394-6000

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD-23144 (HI)
Internal Medicine Physician 207R00000X29296 (OK)
Diagnostic Radiology Physician Primary 2085R0202X29296 (OK)
Diagnostic Radiology Physician 2085R0202X25IA12501900 (NJ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

41 other providers at this address

About NPI 1881954501

Jeremy Theisen, MD's National Provider Identifier is 1881954501, issued on May 29, 2012. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Ponca City, OK. The record was last updated on Sep 23, 2025.