Organization Active NPI

South Tulsa Oncology Professionals Cancer Associates

Doing business as STOP Cancer Associates

  • Radiation Oncology Physician
  • Bixby, OK
National Provider Identifier
1467992230
Registry record updated Jan 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
SOUTH TULSA ONCOLOGY PROFESSIONALS CANCER ASSOCIATES
Doing business as
STOP Cancer Associates
Practice address
13217 S 65TH East PL
Bixby, OK 74008-3846
Phone
(918) 240-9496
NPI assigned
Feb 27, 2017
Last updated
Jan 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Walter Edwin Watts IV, M.D.
Title
Owner/Radiation Oncologist
Phone
(918) 240-9496

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Radiation Oncology Physician 2085R0001X 27100 OK
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

13217 S 65TH East PL
Bixby, OK 74008-3846

Mailing address

13217 S 65TH East PL
Bixby, OK 74008-3846
Phone (918) 240-9496

Other names 1

  • STOP Cancer Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611964800000",
    "number": "1467992230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13217 S 65TH EAST PL",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083846",
            "telephone_number": "918-240-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13217 S 65TH EAST PL",
            "city": "BIXBY",
            "state": "OK",
            "postal_code": "740083846",
            "telephone_number": "918-240-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TULSA ONCOLOGY PROFESSIONALS CANCER ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2021-01-30",
        "certification_date": "2021-01-30",
        "status": "A",
        "authorized_official_last_name": "WATTS",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "OWNER/RADIATION ONCOLOGIST",
        "authorized_official_telephone_number": "918-240-9496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OK",
            "license": "27100",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STOP Cancer Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "STOP Cancer Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bixby, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2021; 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.