South Tulsa RT Associates LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SOUTH TULSA RT ASSOCIATES LLC

Practice address

2408 E 81St St
Ste 110
Tulsa, OK 74137-4215

Phone

(918) 388-2300

Fax

(918) 388-2301

NPI assigned

Jul 2, 2008

Last updated

Oct 7, 2008By 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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Stephen Johnson, M.D.

  • Surgery Physician
  • Tulsa, OK
  • NPI 1780645531
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1760644587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11101 HEFNER POINTE DR",
            "address_2": "#224",
            "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": "2408 E 81ST ST",
            "address_2": "STE 110",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741374215",
            "telephone_number": "918-388-2300",
            "fax_number": "918-388-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH TULSA RT ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-10-07",
        "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": []
}

• South Tulsa Optical, Inc.
• South Tulsa Pediatrics PLLJ
• South Tulsa Performance Health
• South Tulsa Pet, L.L.C. (Imaging Solutions of Tulsa)
• South Tulsa Retina
• South Tulsa Speech Resources, LLC
• South Tulsa Ultrasound Associates, L.L.C. (Imaging Solutions of Tulsa)
• South Tulsa Urgent Care LLC
• South Tulsa Vision Development
• South Wind Women's Center

• Radiation Oncology Physician in Tulsa, OK
• Providers in Tulsa, 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 Oct 7, 2008; 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.