Wellformed AI

NPI 1396365607 · live from the CMS NPI Registry

Tiffany Rager

Radiology, Diagnostic Radiology in Saint Louis, MO. National Provider Identifier 1396365607, active.

NPI record

NPI1396365607 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location11475 Olde Cabin Rd Ste 200, Saint Louis, MO 63141
Practice phone314-991-8200
Mailing address11905 Mary Claire Dr, Oklahoma City, OK 73162
EnumeratedApril 17, 2020
Last updatedMay 22, 2025
Sole proprietorNo
Other namesTiffany Hughes

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology2085R0202X237622 (AK)
Radiology, Diagnostic Radiology2085R0202X7518 (OK)
Radiology, Diagnostic Radiology primary2085R0202X2024049158 (MO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.