ST JOSEPHS CANCER CENTER OF NORTHERN – NPI #1770514044
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

ST JOSEPHS CANCER CENTER OF NORTHERN is a radiologist located in PONCA CITY, OK. NPPES has assigned the NPI number 1770514044 to ST JOSEPHS CANCER CENTER OF NORTHERN on July 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 14 years ago on Apr 05, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ST JOSEPHS CANCER CENTER OF NORTHERN below.

NPI Profile for
ST JOSEPHS CANCER CENTER OF NORTHERN

NPI Number
1770514044
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST JOSEPHS CANCER CENTER OF NORTHERN
Primary location
609 VIRGINIA AVE
PONCA CITY, OK 74601
Phone: (580) 767-1300 Fax: (580) 767-1960
Mailing address
230 N MIDWEST BLVD
MIDWEST CITY, OK 73110
Phone: (580) 767-1300 Fax: (580) 767-1960
Organization Subpart
No
Authorized Official
EDWARD GIBSON
MANAGER OPTION ONCOLOGY OKLAHOMA
Phone: (949) 400-0058
Updated
Identifiers

Identifiers for ST JOSEPHS CANCER CENTER OF NORTHERN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDOK200084810A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.