Clintonweatherford RT Associates LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

CLINTONWEATHERFORD RT ASSOCIATES LLC

Doing business as

Artesian Cancer Center @ Clinton

Practice address

100 N 30TH St
Clinton, OK 73601-3117

Phone

(405) 418-2200

Fax

(405) 418-2201

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

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

Other names 1

• ARTESIAN CANCER CENTER @ CLINTON Doing business as

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1649830977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11032 QUAIL CREEK RD STE 165",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731206208",
            "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": "100 N 30TH ST",
            "city": "CLINTON",
            "state": "OK",
            "postal_code": "736013117",
            "telephone_number": "405-418-2200",
            "fax_number": "405-418-2201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINTONWEATHERFORD RT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "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": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ARTESIAN CANCER CENTER @ CLINTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinton Indian Health Center (Clinton IHS Pharmacy)
• Clinton Nursing and Rehab LLC (Clinton Nursing and Rehab)
• Clinton Nursing Center, LLC (Grace Living Center - Clinton)
• Clinton Public Schools
• Clinton Therapy & Living Center, LLC
• Sherri Ann Cloninger
• Angela Carin Cloud, LPN
• James Doyle Coffey, O.D.
• Melissa Suzanne Collins
• Tara Comingdeer Fields, OD

• Radiation Oncology Physician in Clinton, OK
• Providers in Clinton, 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 Jun 18, 2019; 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.