OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE LLC


Address: 800 W Boise Cir Ste 400, Broken Arrow, OK 74012-4974
Phone: 9183070215

OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE LLC (NPI# 1104291236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104291236
Entity Type Organization
Organization Name OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE LLC
Practice Address 800 W Boise Cir Ste 400
Broken Arrow
OK 74012-4974
Mailing Address 12697 E 51st St
Tulsa
OK 74146-6236
Practice Telephone 9183070215
Practice Fax Number 9182507669
Mailing Telephone 9183070215
Mailing Fax Number 9182507669
Enumeration Date 2015-12-01
Last Update Date 2020-02-18
Authorized Official Name DR. DARON G. STREET (PRESIDENT)
Authorized Official Telephone 9185053200
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ND0101X Dermatology
Specialization: MOHS-Micrographic Surgery
Allopathic & Osteopathic Physicians

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1215301346 Oklahoma Cancer Specialists and Research Institute LLC Radiology 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 2015-12-01
1679947709 Oklahoma Cancer Specialists and Research Institute LLC Radiology 901 N Strong Blvd, Mcalester, OK 74501-4206 2015-12-01
1932574068 Oklahoma Cancer Specialists and Research Institute LLC Obstetrics & Gynecology 600 S Adams St, Stillwater, OK 74074-4370 2015-12-01
1962876045 Oklahoma Cancer Specialists and Research Institute LLC Obstetrics & Gynecology 12697 E 51st St, Tulsa, OK 74146-6236 2015-11-30
1295000685 Oklahoma Cancer Specialists and Research Institute LLC Pharmacy 12697 E 51st St, Tulsa, OK 74146-6236 2012-03-19

Office Location

Street Address 800 W BOISE CIR STE 400
City BROKEN ARROW
State OK
Zip Code 74012-4974

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447667613 Janelle Marshall Pavlis Dermatology 800 W Boise Cir Ste 400, Broken Arrow, OK 74012 2014-07-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154949139 Bonnie Jordan James Pharmacist 915 E Kenosha St, Broken Arrow, OK 74012 2020-07-07
1548814874 Flawless Smile Dentistry of Ba Pllc Dentist 2319 N. 9th Street, Broken Arrow, OK 74012 2019-07-25
1780236653 Carefirst Pharmacy Inc. Pharmacy 2530 N. Elm Pl., Broken Arrow, OK 74012 2019-07-11
1043871213 Stacy Lynn Mitchell Counselor 2035 W. Houson St., Suite A, Broken Arrow, OK 74012 2019-06-27
1497319297 Sara Hart Internal Medicine 420 W. Stone Wood Drive, Broken Arrow, OK 74012 2019-04-26
1699262386 Fulps Family Eye Care, LLC Optometrist 3300 S Aspen Ave Ste D, Broken Arrow, OK 74012 2018-04-18
1598284358 Stephanie Sue Mcquarters Clinical Medical Laboratory 1840 South Lion Avenue, Broken Arrow, OK 74012 2017-09-13
1477072460 Kama Rae Gettings Nurse Practitioner 4623 W. Kenosha St, Broken Arrow, OK 74012 2017-09-12
1689196727 Kristen Sherie' Snyder Case Manager/Care Coordinator 1324 North Umbrella Avenue, Broken Arrow, OK 74012 2017-07-11
1699216754 Hillside Wellness Plllp Chiropractor 2311 N 9th St, Suite 101, Broken Arrow, OK 74012 2017-03-09
Find all providers in zip 74012

Taxonomy Information

Taxonomy Code 207ND0101X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology
Specialization MOHS-Micrographic Surgery

Taxonomy Definition

The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.
Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750466934 Advanced Dermatology, Inc Dermatology 1030 E Washington Ave, Mcalester, OK 74501-4850 2006-10-26
1285647586 Scott William Meyers Dermatology 1440 Terrace Dr, Tulsa, OK 74104-4626 2006-08-15
1124038518 Mary Margaret Christian-reed Dermatology 9306 S Toledo Ct, Suite #100, Tulsa, OK 74137-2746 2006-08-08
1962061440 Skin Cancer Center, Pllc Dermatology 2404 Palmer Cir, Norman, OK 73069-6301 2019-06-10
1023378759 Robert Fischer Dermatology 5801 E 41st St Ste 200, Tulsa, OK 74135-5627 2012-05-29
1831349281 Susannah L Collier Md Pllc Dermatology 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1512 2008-09-23
1942335773 Dermatology and Laser Center of Oklahoma Dermatology 9306 S Toledo Ct, Suite #100, Tulsa, OK 74137-2746 2007-02-22
1932286069 Oklahoma Skin Surgery & Cosmetic Dermatology, P.C. Dermatology 1440 Terrace Dr, Tulsa, OK 74104-4626 2006-11-01
1598776866 James B. Stewart, Jr., M.d., P.C. Dermatology 3705 W Memorial Rd, Suite 101, Oklahoma City, OK 73134-1512 2006-08-11

Competitor

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City BROKEN ARROW
Zip Code 74012

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Dataset Information

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.

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