Southwest Radiation Oncology, Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

16840 Issued in OK

Legal business name

SOUTHWEST RADIATION ONCOLOGY, INC

Practice address

1000 N Lee Ave
Oklahoma City, OK 73102-1036

Phone

(405) 329-2389

Fax

(405) 321-0326

NPI assigned

Aug 24, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Clinton A. Medbery, M.D.

Title

President

Phone

(405) 329-2389

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John R Taylor, M.D.

  • Radiation Oncology Physician
  • Oklahoma City, OK
  • NPI 1376589069
  NPD (past)
• Douglas L Clark, MD

  • Radiation Oncology Physician
  • Grand Island, NE
  • NPI 1801982939
  NPD (past)
• Troy A Richards, MD

  • Radiation Oncology Physician
  • Shreveport, LA
  • NPI 1386671584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305590400000",
    "number": "1023001237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1072",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730701072",
            "telephone_number": "405-329-2389",
            "fax_number": "405-321-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N LEE AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731021036",
            "telephone_number": "405-329-2389",
            "fax_number": "405-321-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST RADIATION ONCOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-05-17",
        "status": "A",
        "authorized_official_last_name": "MEDBERY",
        "authorized_official_first_name": "CLINTON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-329-2389",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "16840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southwest Orthotic Lab, LLC
• Southwest Pediatric Dental Associates, PLLC
• Southwest Pediatrics and Allergy
• Southwest Pediatrics, PLLC
• Southwest Pulmonary & Sleep Consultants
• Southwest Rehabilitation
• Machaelie Souza, MS, LPC
• Paula J. Souza
• Sovereign Paladin LLC
• Gina Sovo

• Radiation Oncology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Radiation Oncology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.