CLINTONWEATHERFORD RT ASSOCIATES LLC (NPI# 1649830977) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649830977 |
| Entity Type | Organization |
| Organization Name | CLINTONWEATHERFORD RT ASSOCIATES LLC |
| Practice Address |
100 N 30th St Clinton OK 73601-3117 |
| Mailing Address |
11032 Quail Creek Rd Ste 165 Oklahoma City OK 73120-6208 |
| Practice Telephone | 4054182200 |
| Practice Fax Number | 4054182201 |
| Mailing Telephone | 4054182200 |
| Mailing Fax Number | 4054182201 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | MR. DEREK M PRENTICE (MANAGING MEMBER) |
| Authorized Official Telephone | 4054182200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ARTESIAN CANCER CENTER @ CLINTON | Doing Business As Name - Organization |
| Street Address |
100 N 30TH ST |
| City | CLINTON |
| State | OK |
| Zip Code | 73601-3117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699774554 | Troy K Brown | Nurse Anesthetist, Certified Registered | 100 N 30th St, Clinton, OK 73601-3117 | 2005-07-21 |
| 1801446406 | Hcc of Clinton LLC | Emergency Medicine | 100 N 30th St, Clinton, OK 73601-3117 | 2019-09-16 |
| 1942850540 | Ess of Clinton LLC | Emergency Medicine | 100 N 30th St, Clinton, OK 73601-3117 | 2019-09-16 |
| 1285194449 | Amanda Hill | Pharmacist | 100 N 30th St, Clinton, OK 73601-3117 | 2019-03-23 |
| 1427557339 | Cheyenne Buckner | Specialist/Technologist | 100 N 30th St, Clinton, OK 73601-3117 | 2018-02-06 |
| 1124429576 | Emilee Herren | Pharmacist | 100 N 30th St, Clinton, OK 73601-3117 | 2014-09-04 |
| 1164821823 | Shirley Gail Joseph | Pharmacist | 100 N 30th St, Clinton, OK 73601-3117 | 2014-08-19 |
| 1073912945 | Margaret Ramos | General Acute Care Hospital | 100 N 30th St, Clinton, OK 73601-3117 | 2014-08-17 |
| 1124362926 | Oklahoma Emergency Physician Partners Pllc | Emergency Medicine | 100 N 30th St, Clinton, OK 73601-3117 | 2012-11-16 |
| 1881940583 | Clinton Hmpn, LLC | Nurse Anesthetist, Certified Registered | 100 N 30th St, Clinton, OK 73601-3117 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225514458 | April Walker | Pharmacist | 100 N. 30th, Clinton, OK 73601 | 2018-07-11 |
| 1477045995 | Dynamic Psychological & Mediation Services | Counselor | 104 S 7th St, Clinton, OK 73601 | 2018-05-31 |
| 1619490851 | Kristyn Wagner | Social Worker | 90 N 31st Street, Clinton, OK 73601 | 2017-07-19 |
| 1124478193 | Lindsay Dlugonski | Nurse Practitioner | 545 S. 30th Street, Clinton, OK 73601 | 2016-06-20 |
| 1881059434 | Cathrine Mears | Counselor | 94 N 31st, Clinton, OK 73601 | 2015-12-28 |
| 1326464603 | Melissa Lucia Torres | Nurse Practitioner | 3140 W. Hayes, Clinton, OK 73601 | 2014-03-11 |
| 1356789341 | Clinton Hmpn, LLC | Family Medicine | 129 S. 9th Street, Clinton, OK 73601 | 2013-06-12 |
| 1881950970 | Namen Bouma | Counselor | 70-100 N. 31st Street, Clinton, OK 73601 | 2012-04-03 |
| 1366717928 | Sherri Lee Milliron | Counselor | 70-100 N 31st, Clinton, OK 73601 | 2012-03-15 |
| 1740597087 | Susan Kathleen Hodges | Counselor | 19 Sunset Place, Clinton, OK 73601 | 2010-09-08 |
| Find all providers in zip 73601 | ||||
| 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 |
|---|---|---|---|---|
| 1619920477 | Andrew Satinsky | Radiology | 7501 Surratts Rd. Suite 108, Southern Maryland Hospital Center, Clinton, MD 20735 | 2006-05-19 |
| 1356361174 | Sampson Radiation Oncology, Pa | Radiology | 215 Beaman Street, Clinton, NC 28328 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942611322 | Hyperthermia Associates LLC | Radiology | 1501 N Florence Ave Ste 191, Claremore, OK 74017-3187 | 2014-05-19 |
| 1821431370 | David John Olek Jr. | Radiology | 4401 Mcauley Blvd Ste 1500, Oklahoma City, OK 73120 | 2013-04-15 |
| 1497095459 | Grove Rt Associates LLC | Radiology | 3632 Us Highway 59 N, Grove, OK 74344-3704 | 2013-02-27 |
| 1215211537 | Michael Allen Sartin | Radiology | 3236 Rock Hollow Rd, Oklahoma City, OK 73120-1928 | 2011-10-05 |
| 1578712675 | Cancer Centers of Southwest Oklahoma, LLC | Radiology | 2110 Duncan Regional Loop, Duncan, OK 73533-1568 | 2008-09-12 |
| 1720254923 | Shripal Kantilal Bhavsar | Radiology | 5911 W Memorial Rd, Oklahoma City, OK 73142-2015 | 2008-05-07 |
| 1609041136 | Cancer Centers of Southwest Oklahoma, LLC | Radiology | 1200 E Broadway St, Altus, OK 73521-5702 | 2008-04-25 |
| 1588846521 | Sakuntala Dutta | Radiology | 4908 Wisteria Dr, Oklahoma City, OK 73142-1846 | 2007-12-01 |
| 1790989473 | Eastern Oklahoma Radiation Associates, LLC | Radiology | 3700 N Kickapoo Ave Ste 108, Shawnee, OK 74804 | 2007-06-14 |
| 1407927213 | Janice Hunter Witt | Radiology | 15720 Traditions Blvd, Edmond, OK 73013 | 2006-11-13 |
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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.