OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C. (NPI# 1730403882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730403882 |
| Entity Type | Organization |
| Organization Name | OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C. |
| Other Organization Name | CANCER CARE ASSOCIATES |
| Practice Address |
1810 E 15th St Tulsa OK 74104-4611 |
| Mailing Address |
4401 W Memorial Rd 138 Oklahoma City OK 73134-1785 |
| Practice Telephone | 9185923700 |
| Practice Fax Number | 9185923809 |
| Mailing Telephone | 4059362812 |
| Mailing Fax Number | 4059362891 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |
| Authorized Official Name | VIKKI ANN CANFIELD (PAST PRESIDENT) |
| Authorized Official Telephone | 4057514343 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100744480A | 05 |
| Other Name | Type Code |
|---|---|
| Cancer Care Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851615918 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1220 W Willow Rd Ste A, Enid, OK 73703-2529 | 2010-03-18 |
| 1184948234 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 | 2010-03-18 |
| 1740504893 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 701 E Robinson St, Suite A-100, Norman, OK 73071-6652 | 2010-03-18 |
| 1245554302 | Oklahoma Oncology and Hematology, P.C. | Radiology | 600 S Adams St, Stillwater, OK 74074-4370 | 2010-03-18 |
| 1053635110 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 4301 S Western Ave, Oklahoma City, OK 73109-3411 | 2010-03-18 |
| 1972827046 | Oklahoma Oncology and Hematology, P.C. | Obstetrics & Gynecology | 6475 S Yale Ave, 201, Tulsa, OK 74136-7816 | 2010-03-18 |
| 1487978540 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1101 12th Ave Nw, Ardmore, OK 73401-5736 | 2010-03-18 |
| 1184948242 | Oklahoma Oncology and Hematology, P.C. | Radiology | 901 N Strong Blvd, Mcalester, OK 74501-4206 | 2010-03-18 |
| 1538483698 | Oklahoma Oncology and Hematology, P.C. | Radiology | 9320 S Mingo Rd, Tulsa, OK 74133-5710 | 2010-03-18 |
| 1538483607 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1011 N Dewey Ave, 100, Oklahoma City, OK 73102-1024 | 2010-03-18 |
| Street Address |
1810 E 15TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74104-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184182354 | Tiffany Renee Hays | Nurse Practitioner | 1810 E 15th St, Tulsa, OK 74104-4611 | 2019-03-06 |
| 1740788595 | Chance Leroy Phillips | Nurse Practitioner | 1810 E 15th St, Tulsa, OK 74104-4611 | 2018-01-26 |
| 1164885240 | Arthrokinex Tulsa LLC | Clinic/Center | 1810 E 15th St, Tulsa, OK 74104-4611 | 2016-04-05 |
| 1720388846 | Julie Ann Spears | Clinical Nurse Specialist | 1810 E 15th St, Tulsa, OK 74104-4611 | 2010-10-22 |
| 1326145962 | Richard Charles Staab | Internal Medicine | 1810 E 15th St, Tulsa, OK 74104-4611 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982253811 | Ultimate Health and Pain Management | Pain Medicine | 1844 East 15th Street, Tulsa, OK 74104 | 2019-09-04 |
| 1225691223 | David Murray | Student in an Organized Health Care Education/Training Program | 2100 S Wheeling Ave, Tulsa, OK 74104 | 2019-04-16 |
| 1083115828 | Susan Fortner | Counselor | 1328 S. Delaware Pl, Tulsa, OK 74104 | 2018-02-27 |
| 1033636915 | Mark Brizendine | Dietitian, Registered | Hillcrest Medical Center 1120 S. Utica Ave, Tulsa, OK 74104 | 2017-08-23 |
| 1295259067 | Demi Reyd Cook | Nurse Practitioner | 1717 A South Utica, Tulsa, OK 74104 | 2017-08-02 |
| 1851827059 | Oklahoma Cvs Pharmacy | Durable Medical Equipment & Medical Supplies | 1701 E 15th Street, Tulsa, OK 74104 | 2017-05-08 |
| 1801334982 | Jamie Lynne Miller | Internal Medicine | 2000 S. Wheeling Avenue Ste 510, Tulsa, OK 74104 | 2017-02-08 |
| 1578913430 | Donna Durant-macon | Registered Nurse | 315 South Utica, Tulsa, OK 74104 | 2016-06-21 |
| 1669833851 | Mbc Dental | Dentist | 401 S. Utica Ave, #a, Tulsa, OK 74104 | 2016-03-15 |
| 1518332170 | Neuro Dynamics LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 22 S Lewis, Tulsa, OK 74104 | 2015-12-08 |
| Find all providers in zip 74104 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093782245 | John L. Eckenrode | Internal Medicine | 11212 E 48th St, Tulsa, OK 74146 | 2006-03-07 |
| 1255334496 | Barry Clinton Mirtsching | Internal Medicine | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2005-05-23 |
| 1376969378 | Oncology Physicians LLC | Internal Medicine | 7107 S Yale Ave, No,198, Tulsa, OK 74136-6308 | 2014-03-14 |
| 1568721033 | Jessica Ann Kreitzberg | Internal Medicine | 11212 E 48th St, Tulsa, OK 74146-5824 | 2012-05-03 |
| 1336406685 | Chelsea Nicole Thomas | Internal Medicine | 11212 E 48th St, Tulsa, OK 74146 | 2012-04-11 |
| 1669745667 | Amara Gayathri Nandikolla | Internal Medicine | 1245 S Utica Ave, Ste 100, Tulsa, OK 74104 | 2012-02-22 |
| 1083920425 | Nikhil Mukhi | Internal Medicine | 11212 E 48th St, Tulsa, OK 74146-5824 | 2010-08-24 |
| 1235398066 | Laura K Brett | Internal Medicine | 1809 E 13th St, Suite 402, Tulsa, OK 74104-4419 | 2008-06-06 |
| 1770790289 | Supriya Koya | Internal Medicine | 1919 S Wheeling Ave, Ste 204, Tulsa, OK 74104-5638 | 2007-05-16 |
| 1326145962 | Richard Charles Staab | Internal Medicine | 1810 E 15th St, Tulsa, OK 74104-4611 | 2006-09-17 |
| Find all providers in TULSA | ||||
Please comment or provide details below to improve the information on OKLAHOMA ONCOLOGY AND HEMATOLOGY, P.C..
| 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.