St Josephs Cancer Center of Northern

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

ST JOSEPHS CANCER CENTER OF NORTHERN

Practice address

609 Virginia Ave
Ponca City, OK 74601

Phone

(580) 767-1300

Fax

(580) 767-1960

NPI assigned

Jul 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Edward R Gibson

Title

Manager Option Oncology Oklahoma

Phone

(949) 400-0058

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Akinola O Ogundipe, M.D.

  • Hematology & Oncology Physician
  • Ponca City, OK
  • NPI 1760433908
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1770514044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N MIDWEST BLVD",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "73110",
            "telephone_number": "580-767-1300",
            "fax_number": "580-767-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 VIRGINIA AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74601",
            "telephone_number": "580-767-1300",
            "fax_number": "580-767-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST JOSEPHS CANCER CENTER OF NORTHERN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER OPTION ONCOLOGY OKLAHOMA",
        "authorized_official_telephone_number": "949-400-0058",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200084810A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Sparks, M.D.
• Ivy S Sparlin, DDS
• Deborah J Spaulding
• Jenna Specht, PA-C
• Lauren T Spiva
• St. Mary'S Physician Associates, LLC
• Stacy Kraft, LCSW, LLC
• Sylvia Michelle Standard
• Michael Standifer Jr., BS
• Annmarie Stanford

• All providers in Ponca City, OK
• Radiation Oncology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.