CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC (NPI# 1821528662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821528662 |
Entity Type | Organization |
Organization Name | CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC |
Other Organization Name | CANCER CENTERS OF SOUTHWEST OKLAHOMA |
Practice Address |
210 South Mary Bailey Drive Chickasha OK 73018 |
Mailing Address |
104 Nw 31st St Lawton OK 73505-6100 |
Practice Telephone | 4052229222 |
Practice Fax Number | 4052229221 |
Mailing Telephone | 5805362121 |
Mailing Fax Number | 5805362150 |
Enumeration Date | 2017-06-14 |
Last Update Date | 2017-06-14 |
Authorized Official Name | JAMES LANE HOOTON (CHIEF OPERATING OFFICER) |
Authorized Official Telephone | 5805362121 |
Is Organization Subpart | Y |
Parent Organization Name | CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Cancer Centers of Southwest Oklahoma | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578712675 | Cancer Centers of Southwest Oklahoma, LLC | Radiology | 2110 Duncan Regional Loop, Duncan, OK 73533-1568 | 2008-09-12 |
1609041136 | Cancer Centers of Southwest Oklahoma, LLC | Radiology | 1200 E Broadway St, Altus, OK 73521-5702 | 2008-04-25 |
1952550659 | Cancer Centers of Southwest Oklahoma, LLC | Clinic/Center | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2008-09-17 |
1912156035 | Cancer Centers of Southwest Oklahoma, LLC | Clinic/Center | 1407 Whisenant Drive, Duncan, OK 73533-1650 | 2008-09-12 |
1073787792 | Cancer Centers of Southwest Oklahoma, LLC | Radiology | 104 Nw 31st St, Lawton, OK 73505-6100 | 2008-04-14 |
Street Address |
210 SOUTH MARY BAILEY DRIVE |
City | CHICKASHA |
State | OK |
Zip Code | 73018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821535915 | Around The Clock Home Care | In Home Supportive Care | 313 W Chickasha Ave, Chickasha, OK 73018 | 2017-01-26 |
1639535537 | Teagan Rae Dorsey | Registered Nurse | 304 S 29th Street, Chickasha, OK 73018 | 2016-01-07 |
1578949327 | Megan Griffin | Dentist | 720 West Grand Ave, Chickasha, OK 73018 | 2015-08-04 |
1174933709 | Mendy Stone | Case Manager/Care Coordinator | 1820 Wets Idaho Ave, Chickasha, OK 73018 | 2014-05-05 |
1407286735 | Martha Allison Shadoan | Social Worker | 804 W. Choctaw, Chickasha, OK 73018 | 2013-11-22 |
1225313521 | Shanna Michelle Rice | Counselor | 198 East Almar Drive, Chickasha, OK 73018 | 2011-10-18 |
1306016175 | Logsdon Chiropractic, Pllc | Clinic/Center | 1807 S. 9th, Chickasha, OK 73018 | 2008-03-07 |
1518148337 | Christopher Lee Ludwell | Chiropractor | 419 Fieldcrest, Chickasha, OK 73018 | 2007-11-20 |
1902098270 | Barbara Ann Reilley Schmidt | Pediatrics | 2222 West Iowa, Chickasha, OK 73018 | 2007-08-10 |
1184815474 | Kali Kate Mccabe | Counselor | 804 West Choctaw, Chickasha, OK 73018 | 2007-08-05 |
Find all providers in zip 73018 |
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 |
---|---|---|---|---|
1548725302 | Saint Medical Group, LLC | Internal Medicine | 3525 Nw 56th St Ste 150c, Oklahoma City, OK 73112-4516 | 2019-02-06 |
1659886893 | Ssm Healthcare of Oklahoma, Inc | Internal Medicine | 1614 Professional Cir, Yukon, OK 73099-6314 | 2017-12-11 |
1114430022 | Ssm Health Care of Oklahoma Inc | Internal Medicine | 3525 Nw 56th St Ste 100d, Oklahoma City, OK 73112-4549 | 2017-11-14 |
1730403882 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1810 E 15th St, Tulsa, OK 74104-4611 | 2010-03-18 |
1851615918 | Oklahoma Oncology and Hematology, P.C. | Internal Medicine | 1220 W Willow Rd Ste A, Enid, OK 73703-2529 | 2010-03-18 |
1902137540 | Hassan Hatoum | Internal Medicine | 800 Ne 10th St. Okcc 2001-6, Stephenson Cancer Center//university of Oklahoma Health, Oklahoma City, OK 73104 | 2010-01-21 |
1235397654 | Agnel Rajani Raparthi | Internal Medicine | 800 Ne 10th St # 6071, Oklahoma City, OK 73104-5418 | 2008-06-02 |
1225229461 | Roseleen Sadruddin Charania | Internal Medicine | 1227 E 9th St, Edmond, OK 73034-5708 | 2007-08-05 |
1629282389 | Christopher Mark Manus | Internal Medicine | 3470 E Frank Phillips Blvd, Bartlesville, OK 74006-2406 | 2007-05-10 |
1760534127 | Carla Kurkjian | Internal Medicine | 4401 Mcauley Blvd, Suite 2700, Oklahoma City, OK 73120-8341 | 2007-01-17 |
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.