| Doctor Name: | JONATHAN ROSS VANHOOSER |
| NPI Number: | 1053377002 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 16487 |
| Business Practice Address: | 600 S Monroe St Enid, OK - 737017211 |
| Business Phone Number: | 5802332300 |
| Business Fax Number: | 5805481497 |
| Mailing Address: | 5300 N Independence Ave, 280 OKLAHOMA CITY |
| State: | OK |
| Postal Code: | 731125556 |
| Phone Number: | 5802332300 |
| Fax Number: | 5805481497 |
| NPI Enumeration Date: | 04/26/2006 |
| NPI Last Update Date: | 01/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 16487 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |