Shawnee RT Associates LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SHAWNEE RT ASSOCIATES LLC

Practice address

3700 N Kickapoo Ave
Ste 108
Oklahoma City, OK 74804-0007

Phone

(405) 418-2200

Fax

(405) 418-2201

NPI assigned

Mar 29, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Derek M Prentice

Title

Managing Member

Phone

(405) 418-2200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1649595166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR",
            "address_2": "#232",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731205054",
            "telephone_number": "405-418-2200",
            "fax_number": "405-418-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N KICKAPOO AVE",
            "address_2": "STE 108",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "748040007",
            "telephone_number": "405-418-2200",
            "fax_number": "405-418-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE RT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "405-418-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Shaw, PSY.D.
• Shawn K Lee MD PC
• Shawn Smith, M.D., P.C.
• Pamela J. Shawn, M.S.
• Shawnaree L. Lee, DO PLLC
• Justin Shawver, LPN
• Brian Shayota, M.D., M.P.H.
• Pejma Shazadeh Safavi
• Jennifer Lynn Shea
• Susan Penrod Shead, MSW

• Radiation Oncology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Radiation Oncology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.