PROVISION CARES PROTON CENTER OKC, LLC
NPI 1083109037
Clinic/Center - Oncology, Radiation in Oklahoma City, OK
NPI Status: Active since June 22, 2018
Contact Information
5901 W MEMORIAL RD
OKLAHOMA CITY, OK
ZIP 73142
Phone: (865) 342-4518
- Organization
- Clinic/Center
- Oncology, Radiation
- CLIA Number: 44D2085224
- CLIA Cert. Type: Other - FREESTANDING RADIATION TH
- CLIA Exp. Date: 10-08-2026
About PROVISION CARES PROTON CENTER OKC, LLC
This page provides the complete NPI Profile along with additional information for Provision Cares Proton Center Okc, Llc, a provider established in Oklahoma City, Oklahoma operating as a Clinic/center, focusing in oncology, radiation . The healthcare provider is registered in the NPI registry with number 1083109037 assigned on June 2018. The practitioner's primary taxonomy code is 261QX0203X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Provision Cares Proton Center Okc, Llc. The authorized official of this NPI record is Valerie Gibbs (Director Of Business Operations)
- NPI
- 1083109037
- Provider Legal Name
- PROVISION CARES PROTON CENTER OKC, LLC
- Other Organization Name
- PROVISION CARES PROTON CENTER OKC, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5901 W MEMORIAL RD OKLAHOMA CITY, OK 73142
- Location Phone
- (865) 342-4518
- Mailing Address
- 6450 PROVISION CARES WAY KNOXVILLE, TN 37909
- Mailing Phone
- (865) 342-4518
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-22-2018
- Last Update Date
- 06-22-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Oncology, Radiation
- Taxonomy Code
- 261QX0203X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D2085224
- Facility Type
- Other - FREESTANDING RADIATION TH
- Certificate Effective Date
- October 09, 2024
- Certificate Expiration Date
- October 08, 2026
- Laboratory Director
- DR. BRION SHIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Provision Cares Proton Center Okc, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1083109037, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 12 providers are registered at the same or a nearby location.
OKLAHOMA CITY, OK 73142
OKLAHOMA CITY, OK 73142
OKLAHOMA CITY, OK 73142
OKLAHOMA CITY, OK 73142
OKLAHOMA CITY, OK 73142
OKLAHOMA CITY, OK 73142
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083109037, enumerated as an "organization" on June 22, 2018.
The provider is located at 5901 W MEMORIAL RD OKLAHOMA CITY, OK 73142 and the phone number is (865) 342-4518.
Clinic/Center with taxonomy code 261QX0203X and a focus in Oncology, Radiation.
