Active NPI
Linda J Hathaway, MD
- Radiation Oncology Physician
- Oklahoma City, OK
National Provider Identifier
1235108689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 23580
- Practice address
- 825 NE 10TH St
Oupb1430
Oklahoma City, OK 73104-5417 - Phone
- (405) 271-5641
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 23580 | OK | Primary |
Addresses
Primary practice location
825 NE 10TH St
Oupb1430
Oklahoma City, OK 73104-5417
Mailing address
793 Eastern Byp
Suite G2
Richmond, KY 40475-2422
Phone (859) 626-0074
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64306756 | Medicaid | KY | |
| 200017270B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice Care Plus, Inc | Past | Accepting new patients | |
| Northern Rockies Radiation Oncology Center LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- Richmond, KY
- NPI 1184315285
-
- Radiation Oncology Clinic/Center
- Billings, MT
- NPI 1902871544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382486400000",
"number": "1235108689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "793 EASTERN BYP",
"address_2": "SUITE G2",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404752422",
"telephone_number": "859-626-0074",
"fax_number": "859-626-3265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 NE 10TH ST",
"address_2": "OUPB1430",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731045417",
"telephone_number": "405-271-5641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HATHAWAY",
"first_name": "LINDA",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2013-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OK",
"license": "23580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64306756",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200017270B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.