Active NPI
Midwest Oncology Group PLLC
- Hematology & Oncology Physician
- Moore, OK
National Provider Identifier
1063704476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- MIDWEST ONCOLOGY GROUP PLLC
- Practice address
- 604 S Classen Ave
Suite H
Moore, OK 73160-5401 - Phone
- (405) 799-5366
- Fax
- (405) 799-5930
- NPI assigned
- May 4, 2011
- Organization subpart
- Yes
- Parent organization
- MIDWEST ONCOLOGY GROUP PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen A Hamilton, MD
- Title
- Director of Medical Oncology
- Phone
- (405) 737-8455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
604 S Classen Ave
Suite H
Moore, OK 73160-5401
Mailing address
230 N Midwest Blvd
Midwest City, OK 73110-4321
Phone (405) 737-8455
Other names 1
- Optim Oncology Moore
National Provider Directory
National Provider Directory- Tax ID family
- Midwest Oncology Group PLLC
- Part of
- Midwest Oncology Group PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hematology & Oncology Physician
- Edmond, OK
- NPI 1386936615
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Oncology Clinic/Center
- Midwest City, OK
- NPI 1346298551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304467200000",
"number": "1063704476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N MIDWEST BLVD",
"city": "MIDWEST CITY",
"state": "OK",
"postal_code": "731104321",
"telephone_number": "405-737-8455",
"fax_number": "405-739-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 S CLASSEN AVE",
"address_2": "SUITE H",
"city": "MOORE",
"state": "OK",
"postal_code": "731605401",
"telephone_number": "405-799-5366",
"fax_number": "405-799-5930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST ONCOLOGY GROUP PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST ONCOLOGY GROUP PLLC",
"enumeration_date": "2011-05-04",
"last_updated": "2011-05-04",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR OF MEDICAL ONCOLOGY",
"authorized_official_telephone_number": "405-737-8455",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optim Oncology Moore",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Moore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.