CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC (NPI# 1912156035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912156035 |
| Entity Type | Organization |
| Organization Name | CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC |
| Other Organization Name | SOUTHWEST OKLAHOMA CANCER CENTER, L.L.C. |
| Practice Address |
1407 Whisenant Drive Duncan OK 73533-1650 |
| Mailing Address |
3401 West Gore Boulevard Lawton OK 73505-6332 |
| Practice Telephone | 5802518841 |
| Mailing Telephone | 5805855406 |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-17 |
| Authorized Official Name | MR. RANDALL M SEGLER (PRESIDENT AND MANAGER) |
| Authorized Official Telephone | 5805855511 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0200X |
Clinic/Center Specialization: Oncology |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Southwest Oklahoma Cancer Center, L.L.C. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821528662 | Cancer Centers of Southwest Oklahoma, LLC | Internal Medicine | 210 South Mary Bailey Drive, Chickasha, OK 73018 | 2017-06-14 |
| 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 |
| 1073787792 | Cancer Centers of Southwest Oklahoma, LLC | Radiology | 104 Nw 31st St, Lawton, OK 73505-6100 | 2008-04-14 |
| Street Address |
1407 WHISENANT DRIVE |
| City | DUNCAN |
| State | OK |
| Zip Code | 73533-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295935294 | Rebecca L Bryant | Physical Therapist | 1407 Whisenant Drive, Duncan, OK 73534 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730723362 | Stefanie Alexis Dubicki | Physician Assistant | 1120 Us-81 N, Duncan, OK 73533 | 2019-11-06 |
| 1568935898 | Grace Elizabeth Peters | Physician Assistant | 1120 Us 81, Duncan, OK 73533 | 2019-01-09 |
| 1427406487 | Joseph Suarez | Behavioral Analyst | 23 N 8th, Duncan, OK 73533 | 2016-06-01 |
| 1386086148 | Andrea R Daughtrey | Behavioral Analyst | 209 S 21 St, Duncan, OK 73533 | 2013-07-22 |
| 1578830873 | Carlton D. Mitchell II | Social Worker | 1919 Elk, Duncan, OK 73533 | 2011-11-30 |
| 1336460468 | Dawn Price | Counselor | 7 1/2 N. 8th St, Duncan, OK 73533 | 2010-06-11 |
| 1740416395 | Sanford Clinic | Pediatrics | 2502 W. Elk Ave., Duncan, OK 73533 | 2009-06-09 |
| 1972788222 | Thelma Joann Dillard | Dentist | 1415 W Main Street, Duncan, OK 73533 | 2008-01-07 |
| 1659560548 | Julia Gayle Case | Nurse Practitioner | 2004 North Hwy 81, Duncan, OK 73533 | 2007-10-17 |
| 1407060395 | Cynthia Annette Browning | Speech-Language Pathologist | 1400 Whisenant, Duncan, OK 73533 | 2007-05-09 |
| Find all providers in zip 73533 | ||||
| Taxonomy Code | 261QX0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment and prescriptive services related to cancerous conditions. Services include chemotherapy infusions and monitoring of implanted chemotherapeutic agents. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831576834 | Oncordis Clinic At Cancer Treatment Centers of America PC | Clinic/Center | 10153 East 79th Street, Tulsa, OK 74133 | 2015-04-29 |
| 1952550659 | Cancer Centers of Southwest Oklahoma, LLC | Clinic/Center | 3401 W Gore Blvd, Lawton, OK 73505-6332 | 2008-09-17 |
| 1831272889 | Comprehensive Cancer Center of Oklahoma PC | Clinic/Center | 3525 Nw 56th St, Suite D-100, Oklahoma City, OK 73112-4550 | 2006-10-23 |
| 1346298551 | Midwest Oncology Group, Pllc | Clinic/Center | 230 N Midwest Blvd, Midwest City, OK 73110-4321 | 2006-05-04 |
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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.