Bartlesville Radiation Therapy, Inc.
Organization Active NPI Radiation Oncology Physician · Bartlesville, OK
NPI 1205959863 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1205959863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Radiation Oncology Physician 2085R0001X
- License
- 16690 (OK)
- Legal business name
- BARTLESVILLE RADIATION THERAPY, INC.
- Practice address
- 3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411 - Phone
- (918) 331-1857
- Fax
- (918) 331-1698
- NPI assigned
- Apr 9, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Maurice D. Krause, MD
- Title
- President
- Phone
- (918) 331-1857
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician |
2085R0001X | 16690 | OK | Yes |
Addresses
Primary practice location
3500 E Frank Phillips Blvd
Bartlesville, OK 74006-2411
Mailing address
PO Box 1315
Bartlesville, OK 74005-1315
Phone (918) 331-1857
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 307448733 A002 | Other | CHAMPUS | |
| 307448733004 | Other | OK | BLUE CROSS |
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- Monica Pearl Bassett
- Kathleen Bates
- Nathan S Bates
- Cameron Baughman
All providers in Bartlesville, OK · Radiation Oncology Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.