Provider Demographics
NPI:1295785392
Name:OKLAHOMA ONCOLOGY & HEMATOLOGY PC
Entity type:Organization
Organization Name:OKLAHOMA ONCOLOGY & HEMATOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VIKKI
Authorized Official - Middle Name:A
Authorized Official - Last Name:CANFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-751-4343
Mailing Address - Street 1:4110 S 100TH EAST AVE
Mailing Address - Street 2:201
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74146-3628
Mailing Address - Country:US
Mailing Address - Phone:918-499-2165
Mailing Address - Fax:918-499-2160
Practice Address - Street 1:4110 S 100TH EAST AVE
Practice Address - Street 2:201
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74146-3628
Practice Address - Country:US
Practice Address - Phone:918-499-2165
Practice Address - Fax:918-499-2160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK=========OtherTAX ID
OK=========OtherTAX ID