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OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE LLC NPI 1194396721


NPI Information

NPI: 1194396721
Provider Name: OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC
Classification: Surgery - 2086X0206X
Entity Type: Organization

Specialization: Surgical Oncology

Address:
1819 E 19TH ST FL 5
TULSA, OK
ZIP 74104
Phone: (918) 505-3200
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OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC is a surgical oncology surgery in Tulsa, OK. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. OKLAHOMA CANCER SPECIALISTS AND RESEARCH INSTITUTE, LLC NPI is 1194396721. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1819 E 19TH ST FL 5
TULSA, OK
ZIP 74104-407
Phone: (918) 505-3200
Fax: (918) 505-3225

The provider's authorized official is Mary M Dreesen .
The authorized official title is Mgd Care & Cred Coor and has the following contact phone number (918) 499-2141.

The enumeration date for this NPI number is 7/6/2021 and was last updated on 7/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086X0206XSurgerySurgical OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200627090AMEDICAIDOKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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