Northeast Oklahoma Cancer Center LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

NORTHEAST OKLAHOMA CANCER CENTER LLC

Practice address

1400 E Downing St
Tahlequah, OK 74464-3324

Phone

(918) 456-0641

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer Palmer

Title

VP of Finance

Phone

(918) 453-2133

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Northeastern Health System

  • Rehabilitation Hospital Unit
  • Tahlequah, OK
  • NPI 1528122371

  Member Of

  NPD member

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497398400000",
    "number": "1992978019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1008",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744651008",
            "telephone_number": "918-453-2116",
            "fax_number": "918-453-2123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744643324",
            "telephone_number": "918-456-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OKLAHOMA CANCER CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2017-06-14",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "918-453-2133",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thucnhi Nguyen, DPT
• Karen Nofire
• Douglas Clayton Nolan, D.O.
• Macee Nolan, M.S. CCC-SLP
• Phyllis Carol Nolan, D.O.
• Northeast Oklahoma Wellness Clinic LLC
• Northeastern Foot Care PLLC
• Northeastern Health System
• Northeastern Health System
• Northeastern Health System

• Radiation Oncology Clinic/Center in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Radiation Oncology Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.