EASTERN OKLAHOMA RADIATION ONCOLOGY (NPI# 1326218033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326218033 |
| Entity Type | Organization |
| Organization Name | EASTERN OKLAHOMA RADIATION ONCOLOGY |
| Practice Address |
1400 E Downing St Tahlequah OK 74464-3324 |
| Mailing Address |
Po Box 2578 Muskogee OK 74402-2578 |
| Practice Telephone | 9184560641 |
| Mailing Telephone | 9186843374 |
| Mailing Fax Number | 9186842196 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2008-03-10 |
| Authorized Official Name | MS. TERESA A GARRETT (BUSINESS MGR) |
| Authorized Official Telephone | 9186843374 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Street Address |
1400 E DOWNING ST |
| City | TAHLEQUAH |
| State | OK |
| Zip Code | 74464-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581001 | Teresa Lynn Toombs | Nurse Anesthetist, Certified Registered | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2005-07-11 |
| 1508481292 | Christopher B Gaskins | Internal Medicine | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2020-06-09 |
| 1790309938 | Bryan John Butel | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2020-06-03 |
| 1205463767 | Rahim Ruknudin Sewani | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2020-03-25 |
| 1679104780 | Ashley Cheyenne Sevilla | Physical Therapy Assistant | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2020-01-28 |
| 1972144475 | Shelly Diane Prince | Nurse Practitioner | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-10-05 |
| 1700447752 | Thucnhi Nguyen | Physical Therapist | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-06-20 |
| 1447814256 | Laura Beth Harlen | Occupational Therapist | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-04-26 |
| 1215590260 | Lyndsey Daggs | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-04-16 |
| 1174186183 | James L Wood | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2019-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184253403 | Kendall Harris | Student in an Organized Health Care Education/Training Program | 100 Bliss Ave, Tahlequah, OK 74464 | 2020-04-07 |
| 1528609302 | Norma Brightly | Technician | 103 Sequoyah, Tahlequah, OK 74464 | 2019-10-03 |
| 1073175832 | Jody Lynn Dallis | Case Manager/Care Coordinator | Tenkiller Behavioral Services, 27753 S. Welling Rd, Welling, OK 74464 | 2019-07-02 |
| 1184287849 | Perry Jake Proctor | Student in an Organized Health Care Education/Training Program | 1400 E Downing St, Tahlequah, Ok 74464, Tahlequah, OK 74464 | 2019-04-18 |
| 1336657279 | Sidney Sheyenne Kimble | Case Manager/Care Coordinator | 1429 Jack Brown Lane, Tahlequah, OK 74464 | 2018-01-12 |
| 1891225686 | Nichols Bradley Alberty | Orthotist | 1294 East Downing, Suite 3, Tahlequah, OK 74464 | 2017-06-14 |
| 1922549690 | Krystal Easter Ms, Lpc | Counselor | 2201 Oakridge Dr, Tahlequah, OK 74464 | 2017-03-15 |
| 1144777319 | Northeastern Oklahoma Community Health Centers, Inc. | Clinic/Center | 529 N. Oak St., Tahlequah, OK 74464 | 2016-09-06 |
| 1548713456 | Clement Isioma Nwadozi | Optometrist | 3763 Southridge Cir Apt 6, Tahlequah, OK 74464 | 2016-07-27 |
| 1033532635 | Wesley Gragg | Specialist/Technologist | 603 North Grand Avenue, Tahlequah, OK 74464 | 2014-02-03 |
| Find all providers in zip 74464 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992978019 | Northeast Oklahoma Cancer Center LLC | Clinic/Center | 1400 E Downing St, Tahlequah, OK 74464-3324 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215123153 | Fep LLC | Clinic/Center | 9 N Bryant Ave, Edmond, OK 73034-6307 | 2007-09-24 |
| 1114408762 | Oklahoma Proton Center LLC | Clinic/Center | 5901 W Memorial Rd, Oklahoma City, OK 73142-2015 | 2018-08-22 |
| 1083109037 | Provision Cares Proton Center Okc, LLC | Clinic/Center | 5901 W Memorial Rd, Oklahoma City, OK 73142-2015 | 2018-06-22 |
| 1093083727 | Oncology Development Services | Clinic/Center | 2408 E 81st St, Suite 110, Tulsa, OK 74137-4200 | 2011-12-08 |
| 1194971960 | Oklahoma Procure Management, LLC | Clinic/Center | 5901 W Memorial Rd, Oklahoma City, OK 73142-2015 | 2008-08-13 |
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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.