NPIMap

Organization Active NPI

Midwest Oncology Group PLLC

Doing business as Optim Oncology Moore

  • Hematology & Oncology Physician
  • Moore, OK
National Provider Identifier
1063704476
Registry record updated May 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
MIDWEST ONCOLOGY GROUP PLLC
Doing business as
Optim Oncology Moore
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
Last updated
May 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
MIDWEST ONCOLOGY GROUP PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 4, 2011

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

Authorized official

Name
Stephen A Hamilton, MDNPI 1043210370
Title
Director of Medical Oncology
Phone
(405) 737-8455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Midwest Oncology Group PLLC2 organizations share this tax ID, including this one
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.

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.