EASTERN OKLAHOMA RADIATION ASSOCIATES, LLC (NPI# 1790989473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790989473 |
| Entity Type | Organization |
| Organization Name | EASTERN OKLAHOMA RADIATION ASSOCIATES, LLC |
| Practice Address |
3700 N Kickapoo Ave Ste 108 Shawnee OK 74804 |
| Mailing Address |
11032 Quail Creek Rd Ste 165 Oklahoma City OK 73120-6208 |
| Practice Telephone | 9182839900 |
| Practice Fax Number | 9182839911 |
| Mailing Telephone | 4054182900 |
| Mailing Fax Number | 4054182901 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | DR. VAN HOY WOO (PARTNER) |
| Authorized Official Telephone | 9185871791 |
| 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 |
Allopathic & Osteopathic Physicians |
| Street Address |
3700 N KICKAPOO AVE STE 108 |
| City | SHAWNEE |
| State | OK |
| Zip Code | 74804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164063699 | Isaac Benjamin Gray | Student in an Organized Health Care Education/Training Program | 4010 Blaine Road, Shawnee, OK 74804 | 2019-10-06 |
| 1750863775 | Dillon Gibson | Specialist/Technologist | Oklahoma Baptist University, 500 W. University, Shawnee, OK 74804 | 2018-09-06 |
| 1912368242 | Peggy Baker | Occupational Therapist | 7602 N. Kickapoo, Shawnee, OK 74804 | 2016-03-15 |
| 1861731093 | Shariff Mohammed El-assi | Behavioral Analyst | 45 Crown Point, Shawnee, OK 74804 | 2013-02-07 |
| 1902103112 | Action Physical Therapy & Rehabilitation, Pllc | Physical Therapist | 2506 N Harrison, Shawnee, OK 74804 | 2011-02-24 |
| 1639493315 | Oklahoma Em - 1 Medical Services,p.c. | Emergency Medicine | 1102 W.macarthur, Shawnee, OK 74804 | 2010-03-24 |
| 1821210444 | Mickey Sehorn D.d.s., P.C. | Dentist | 1601 Airport Drive, Shawnee, OK 74804 | 2007-05-03 |
| 1760525711 | Leanna Rae Olsen | Registered Nurse | 1500 N. Kickapoo, Suite #4, Shawnee, OK 74804 | 2007-02-15 |
| 1467517920 | Mahmoud Abdel-fattah Khalifa | Pathology | Unity Health Center, 1102 West Macarthur, Shawnee, OK 74804 | 2006-12-26 |
| 1164586699 | Michael Brian Watters | Optometrist | 2020 N Harrison, Shawnee, OK 74804 | 2006-12-20 |
| Find all providers in zip 74804 | ||||
| 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 |
|---|---|---|---|---|
| 1336346337 | Michael Edwin Confer | Radiology | 1102 W Macarthur St, Shawnee, OK 74804-1743 | 2007-07-02 |
| 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 |
| 1407927213 | Janice Hunter Witt | Radiology | 15720 Traditions Blvd, Edmond, OK 73013 | 2006-11-13 |
| 1932111739 | Robert George Ellis | Radiology | 1204 E 29th St, Tulsa, OK 74114-3907 | 2006-08-12 |
| Find all providers with the same taxonomy | ||||
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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.