Jeremy Theisen, MD
Jeremy Theisen, MD is a Diagnostic Radiology in Ponca City, Oklahoma. Qualified in 2012, 14 years ago. Practices with Capital Health Multispecialty Group, a 340-clinician group, works from 6 locations and accepts Medicare assignment. Licensed in Hawaii, New Jersey and Oklahoma.
- Years since qualifying
- 14
- Licensed in
- HI, NJ, OK
- In the registry since
- 2012
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1900 N 14th StPonca City, OK 74601-2035
Phone: (580) 765-0575
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (5)
- 1 Capital Way, Pennington, NJ 08534-2520 — (609) 303-4000
- 310 Salem Woodstown Rd, Salem, NJ 08079-2064 — (856) 339-6054
- 750 Brunswick Ave, Trenton, NJ 08638-4143 — (609) 394-6000
- 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 — (405) 271-5963
- 920 Sl Young Blvd, Oklahoma City, OK 73104-5036 — (405) 271-5963
Specialties & licences
| Diagnostic Radiology Physician (primary) | Taxonomy 2085R0202X · Licence 29296 (OK) |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence MD-23144 (HI) |
| Internal Medicine Physician | Taxonomy 207R00000X · Licence 29296 (OK) |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X · Licence 25IA12501900 (NJ) |
Record details
| NPI number | 1881954501 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 29, 2012 |
| Last updated in NPPES | September 23, 2025 |
| Certification date | September 23, 2025 |
Medicare enrollment
| Medicare specialty | DIAGNOSTIC RADIOLOGY |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Capital Health Multispecialty Group — 340 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 20 on file with Medicare |
Other providers in Ponca City
-
Allrad PLLC
1900 N 14th St, Ponca City, OK 74601-2035 · (405) 858-2350
-
Ee Rad Ok, LLC
1900 N 4th St, Ponca City, OK 74601 · (703) 652-1200
-
Pch Radiology PC
1900 N 14th St Dept OF Radiology, Ponca City, OK 74601-2035 · (580) 765-0575