NPIMap

Organization Active NPI

Breast Cancer Screening Center of Oklahoma PC

  • Specialist
  • Oklahoma City, OK
National Provider Identifier
1043467723
Registry record updated Apr 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9202 Issued in OK
Legal business name
BREAST CANCER SCREENING CENTER OF OKLAHOMA PC
Practice address
6307 Waterford Blvd Ste 100
Oklahoma City, OK 73118-1117
Phone
(405) 607-6359
Fax
(405) 235-8639
NPI assigned
Aug 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2009

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

Authorized official

Name
Joann Haberman, M.D.
Title
Director
Phone
(405) 607-6359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 9202 OK Primary

Addresses

Primary practice location

6307 Waterford Blvd Ste 100
Oklahoma City, OK 73118-1117

Mailing address

6307 Waterford Blvd Ste 100
Oklahoma City, OK 73118-1117
Phone (405) 607-6359

National Provider Directory

National Provider Directory

Locations

6307 Waterford Blvd
Ste 100
Oklahoma City, OK 73118
Phone (405) 607-6359

NPI Registry JSON

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1043467723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6307 WATERFORD BLVD STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181117",
            "telephone_number": "405-607-6359",
            "fax_number": "405-235-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6307 WATERFORD BLVD STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731181117",
            "telephone_number": "405-607-6359",
            "fax_number": "405-235-8639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CANCER SCREENING CENTER OF OKLAHOMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "HABERMAN",
        "authorized_official_first_name": "JOANN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "405-607-6359",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OK",
            "license": "9202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.