Organization Active NPI

Integrity Oncology Foundation

  • Specialist
  • West Memphis, AR
National Provider Identifier
1073847661
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
019652 Issued in TN
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
5G397OtherARPTAN
1548268592OtherARMD NPI

National Provider Directory

National Provider Directory

Member 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.

Verify at the official NPI Registry.