Active NPI
Midwest Oncology Group PLLC
- Hematology & Oncology Physician
- Edmond, OK
National Provider Identifier
1386936615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- MIDWEST ONCOLOGY GROUP PLLC
- Practice address
- 1227 E 9TH St
Edmond, OK 73034-5708 - Phone
- (405) 359-7358
- Fax
- (405) 359-7765
- NPI assigned
- May 4, 2011
- Organization subpart
- Yes
- Parent organization
- MIDWEST ONCOLOGY GROUP PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephen A Hamilton, MD
- Title
- Credentialing Coordinator
- Phone
- (405) 737-8455
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | OK | Primary |
Addresses
Primary practice location
1227 E 9TH St
Edmond, OK 73034-5708
Mailing address
1227 E 9TH St
Edmond, OK 73034-5708
Phone (405) 359-7358
Other names 1
- Optim Oncology Edmond
National Provider Directory
National Provider Directory- Tax ID family
- Midwest Oncology Group PLLC
- Part of
- Midwest Oncology Group PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hematology & Oncology Physician
- Moore, OK
- NPI 1063704476
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Oncology Clinic/Center
- Midwest City, OK
- NPI 1346298551
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Midwest City, OK
- NPI 1811997265
-
- Radiation Oncology Physician
- Oklahoma City, OK
- NPI 1700291036
-
- Radiation Oncology Physician
- Oklahoma City, OK
- NPI 1366897357
-
- Radiation Oncology Physician
- Oklahoma City, OK
- NPI 1790708410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304467200000",
"number": "1386936615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1227 E 9TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345708",
"telephone_number": "405-359-7358",
"fax_number": "405-359-7765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1227 E 9TH ST",
"city": "EDMOND",
"state": "OK",
"postal_code": "730345708",
"telephone_number": "405-359-7358",
"fax_number": "405-359-7765"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST ONCOLOGY GROUP PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MIDWEST ONCOLOGY GROUP PLLC",
"enumeration_date": "2011-05-04",
"last_updated": "2011-05-04",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "405-737-8455",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Optim Oncology Edmond",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.