Organization Active NPI

Pinnacle Oncology Oklahoma PC

  • Medical Oncology Physician
  • Muskogee, OK
National Provider Identifier
1023358181
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
21102 Issued in OK
Legal business name
PINNACLE ONCOLOGY OKLAHOMA PC
Practice address
301 N 32ND St
Muskogee, OK 74401-5037
Phone
(918) 683-2000
Fax
(918) 686-0554
NPI assigned
Feb 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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

Authorized official

Name
Dr. Ravikumar Vasireddy, M.D.
Title
Owner
Phone
(918) 682-1122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RX0202X 21102 OK Primary

Addresses

Primary practice location

301 N 32ND St
Muskogee, OK 74401-5037

Mailing address

301 N 32ND St
Muskogee, OK 74401
Phone (918) 683-2000

National Provider Directory

National Provider Directory

Locations

301 N 32nd St
Muskogee, OK 74401
Phone (918) 683-2000

203 N Midwest Blvd
Oklahoma City, OK 73110

NPI Registry JSON

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1023358181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 32ND ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "74401",
            "telephone_number": "918-683-2000",
            "fax_number": "918-686-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 32ND ST",
            "city": "MUSKOGEE",
            "state": "OK",
            "postal_code": "744015037",
            "telephone_number": "918-683-2000",
            "fax_number": "918-686-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE ONCOLOGY OKLAHOMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "VASIREDDY",
        "authorized_official_first_name": "RAVIKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-682-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OK",
            "license": "21102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskogee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.