Organization Active NPI

Eastern Oklahoma Radiation Associates, LLC

  • Radiation Oncology Physician
  • Shawnee, OK
National Provider Identifier
1790989473
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
EASTERN OKLAHOMA RADIATION ASSOCIATES, LLC
Practice address
3700 N Kickapoo Ave Ste 108
Shawnee, OK 74804
Phone
(918) 283-9900
Fax
(918) 283-9911
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Van Hoy Woo, M.D.NPI 1578502324
Title
Partner
Phone
(918) 587-1791

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

3700 N Kickapoo Ave Ste 108
Shawnee, OK 74804

Mailing address

11032 Quail Creek Rd Ste 165
Oklahoma City, OK 73120-6208
Phone (405) 418-2900

National Provider Directory

National Provider Directory

Locations

3300 NW 56th St
Fl LL100
Oklahoma City, OK 73112
Phone (405) 488-0700

11032 Quail Creek Rd
Ste 165
Oklahoma City, OK 73120

3700 N Kickapoo Ave
Ste 108
Shawnee, OK 74804
Phone (405) 214-9808

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1790989473",
    "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": "405-418-2900",
            "fax_number": "405-418-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 N KICKAPOO AVE STE 108",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "74804",
            "telephone_number": "918-283-9900",
            "fax_number": "918-283-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OKLAHOMA RADIATION ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "WOO",
        "authorized_official_first_name": "VAN",
        "authorized_official_middle_name": "HOY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "918-587-1791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawnee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.