1063704476 NPI number — MIDWEST ONCOLOGY GROUP PLLC

Table of content: (NPI 1063704476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063704476 NPI number — MIDWEST ONCOLOGY GROUP PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MIDWEST ONCOLOGY GROUP PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1063704476
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
230 N MIDWEST BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIDWEST CITY
Provider Business Mailing Address State Name:
OK
Provider Business Mailing Address Postal Code:
73110-4321
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
405-737-8455
Provider Business Mailing Address Fax Number:
405-739-8707

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
604 S CLASSEN AVE
Provider Second Line Business Practice Location Address:
SUITE H
Provider Business Practice Location Address City Name:
MOORE
Provider Business Practice Location Address State Name:
OK
Provider Business Practice Location Address Postal Code:
73160-5401
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
405-799-5366
Provider Business Practice Location Address Fax Number:
405-799-5930
Provider Enumeration Date:
05/04/2011

Additional Information

Authorized Official

Authorized Official Last Name:
HAMILTON
Authorized Official First Name:
STEPHEN
Authorized Official Middle Name:
A
Authorized Official Title or Position:
DIRECTOR OF MEDICAL ONCOLOGY
Authorized Official Telephone Number:
405-737-8455

Provider Taxonomy Codes

  • Taxonomy code: 207RH0003X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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