NPIMap

Organization Active NPI

Cancer Centers of Southwest Oklahoma, LLC

  • Hematology & Oncology Physician
  • Lawton, OK
National Provider Identifier
1073787792
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC
Practice address
104 NW 31St St
Lawton, OK 73505-6100
Phone
(580) 536-2121
Fax
(580) 536-2150
NPI assigned
Apr 14, 2008
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Mr. James L Hooton
Title
Chief Operating Officer
Phone
(580) 536-2121

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X OK Primary
Radiation Oncology Physician 2085R0001X OK

Addresses

Primary practice location

104 NW 31St St
Lawton, OK 73505-6100

Mailing address

104 NW 31St St
Lawton, OK 73505-6100
Phone (580) 536-2121

Other identifiers 3

IdentifierTypeStateIssuer
200280260BMedicaidOK
200280260FMedicaidOK
6502330001OtherOKNSC

Other names 1

  • Southwest Oklahoma Cancer Center, L.L.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100308000391 OK Part B Supplier - Clinic/Group Practice 7810065323 Receives reassigned benefits from 22 practitioners
3 other NPIs on this enrollment
Practice locations: Duncan, OK; Lawton, OK; Chickasha, OK; Altus, OK
O20110316001010 OK Part B Supplier - Radiation Therapy Center 7810065323 Receives reassigned benefits from 1 practitioner
Practice locations: Altus, OK; Duncan, OK

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1200 E Broadway St
Altus, OK 73521
Phone (580) 379-6000

2110 Duncan Regional Loop
Duncan, OK 73533
Phone (580) 250-6600

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1073787792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 NW 31ST ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056100",
            "telephone_number": "580-536-2121",
            "fax_number": "580-536-2150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 NW 31ST ST",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056100",
            "telephone_number": "580-536-2121",
            "fax_number": "580-536-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CENTERS OF SOUTHWEST OKLAHOMA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "HOOTON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "580-536-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OK",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200280260B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200280260F",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "6502330001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Oklahoma Cancer Center, L.L.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.