SOUTHWEST RADIATION ONCOLOGY, INC (NPI# 1023001237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023001237 |
| Entity Type | Organization |
| Organization Name | SOUTHWEST RADIATION ONCOLOGY, INC |
| Practice Address |
1000 N Lee Ave Oklahoma City OK 73102-1036 |
| Mailing Address |
Po Box 1072 Norman OK 73070-1072 |
| Practice Telephone | 4053292389 |
| Practice Fax Number | 4053210326 |
| Mailing Telephone | 4053292389 |
| Mailing Fax Number | 4053210326 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | CLINTON A. MEDBERY (PRESIDENT) |
| Authorized Official Telephone | 4053292389 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
16840 | OK | Allopathic & Osteopathic Physicians |
| Street Address |
1000 N LEE AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73102-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083619902 | Kevin Jay Mckeown | Anesthesiology | 1000 N Lee Ave, Oklahoma City, OK 73102 | 2005-06-16 |
| 1912516394 | Katelyn Ann Puryear | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-30 |
| 1518575406 | Julian Mahan Lowell | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-07-16 |
| 1730702895 | Michelle Mcnamara | Physician Assistant | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-05-24 |
| 1992345672 | Heather Dawn Smith-kenney | Dietitian, Registered | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2020-01-10 |
| 1265084693 | Laney T Combs | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-07-16 |
| 1396307328 | Physician Management Services of Oklahoma II, LLC | Family Medicine | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-06-29 |
| 1770140014 | Deepika Mohan | Pharmacist | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2019-05-22 |
| 1477029452 | Donna Sue Drew | Registered Nurse | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-17 |
| 1497221626 | Mackenzie Borden | Nurse Practitioner | 1000 N Lee Ave, Oklahoma City, OK 73102-1036 | 2018-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1013434117 | Mark Jeffrey Allison I | Case Manager/Care Coordinator | 400 North Walker Avenue, Suite 190, Oklahoma City, OK 73102 | 2017-08-29 |
| 1770009052 | Christopher Minh Nguyen | Clinical Neuropsychologist | 601 Robert S Kerr Ave Apt 108, Oklahoma City, OK 73102 | 2017-08-17 |
| 1700263928 | Micaela Lupov | Physician Assistant | 101 N Robinson Ave Ste 200, Oklahoma City, OK 73102 | 2015-04-27 |
| 1639577885 | La Fuente Prosthetics | Prosthetic/Orthotic Supplier | 229 N.w. 9th Street, Oklahoma City, OK 73102 | 2014-12-19 |
| 1518378603 | Whitney Thorne | Surgery | 608 Nw 9th St Ste 2200, Oklahoma City, OK 73102 | 2014-05-12 |
| 1356680078 | Dustin W Choate | Counselor | 101 Park Ave Ste 1300, Oklahoma City, OK 73102 | 2013-02-01 |
| 1174889778 | Sailesh Arulkumar | Anesthesiology | 535 Nw 9th St Ste 305, Oklahoma City, OK 73102 | 2012-04-09 |
| 1790092328 | Stephanie Brill | Counselor | 415 Nw 5th Street, Oklahoma City, OK 73102 | 2010-09-02 |
| 1205157120 | Mohammad Omar Ramadan | Urology | Ssm Health Medical Group Urology, 608 Nw 9th St., Suite 5000, Oklahoma City, OK 73102 | 2010-06-15 |
| Find all providers in zip 73102 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821431370 | David John Olek Jr. | Radiology | 4401 Mcauley Blvd Ste 1500, Oklahoma City, OK 73120 | 2013-04-15 |
| 1215211537 | Michael Allen Sartin | Radiology | 3236 Rock Hollow Rd, Oklahoma City, OK 73120-1928 | 2011-10-05 |
| 1720254923 | Shripal Kantilal Bhavsar | Radiology | 5911 W Memorial Rd, Oklahoma City, OK 73142-2015 | 2008-05-07 |
| 1588846521 | Sakuntala Dutta | Radiology | 4908 Wisteria Dr, Oklahoma City, OK 73142-1846 | 2007-12-01 |
| 1578502324 | Van Hoy Woo | Radiology | 3300 Nw 56th St Fl Ll100, Oklahoma City, OK 73112-4499 | 2006-06-06 |
| 1114964855 | Eugen B Hug | Radiology | 5901 W Memorial Rd, Oklahoma City, OK 73142-2015 | 2006-06-01 |
| 1871552042 | Ozer Algan | Radiology | 800 Ne 10th St # L100, Oklahoma City, OK 73104 | 2006-03-17 |
| 1073582896 | Elaine K Nordhues | Radiology | 2525 Nw Expressway, Suite 404, Oklahoma City, OK 73112-7230 | 2006-03-15 |
| 1932109279 | Teresa G Craig | Radiology | 3300 Nw 56th St, Ste Ll100, Oklahoma City, OK 73112-4538 | 2005-07-28 |
| 1356348171 | Astrid Elizabeth Morrison | Radiology | 4300 W Memorial Rd, Oklahoma City, OK 73120-8304 | 2005-07-07 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73102 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.