Active NPI
Integrity Oncology Foundation
- Specialist
- West Memphis, AR
National Provider Identifier
1073847661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 019652
- Legal business name
- INTEGRITY ONCOLOGY FOUNDATION
- Practice address
- 302 S Rhodes St
West Memphis, AR 72301-4215 - Phone
- (870) 733-1800
- Fax
- (870) 733-1077
- NPI assigned
- Sep 29, 2009
- Last updated
- Aug 30, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rola Obaji
- Title
- Ceo
- Phone
- (901) 853-6012
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 019652 | TN | Primary |
Addresses
Primary practice location
302 S Rhodes St
West Memphis, AR 72301-4215
Mailing address
PO Box 5138
Memphis, TN 38101-5138
Phone (901) 853-6012
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5G397 | Other | AR | PTAN |
| 1548268592 | Other | AR | MD NPI |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
302 S Rhodes St
West Memphis, AR 72301
Phone (870) 732-3131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346284800000",
"number": "1073847661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5138",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381015138",
"telephone_number": "901-853-6012",
"fax_number": "901-853-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 S RHODES ST",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723014215",
"telephone_number": "870-733-1800",
"fax_number": "870-733-1077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRITY ONCOLOGY FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-29",
"last_updated": "2012-08-30",
"status": "A",
"authorized_official_last_name": "OBAJI",
"authorized_official_first_name": "ROLA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "901-853-6012",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "019652",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "5G397",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD NPI",
"identifier": "1548268592",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.