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PERIGON PROSTATE CENTER LLC
NPI 1184341489
Clinic/Center - Radiology, Mobile in Oklahoma City, OK

Active since October 26, 2022
100 SE 59TH ST, OKLAHOMA CITY, OK 73129(408) 418-2200(405) 418-2901 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Perigon Prostate Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERIGON PROSTATE CENTER LLC (NPI 1184341489) is a healthcare organization registered as a radiology, mobile in Oklahoma City, Oklahoma and active in the NPI registry since October 2022. The organization lists Derek Prentice, Owner, as its authorized official.

NPPES Registry Identity

NPI1184341489
Entity TypeOrganization
Primary Taxonomy261QR0208X
Legal Business NamePERIGON PROSTATE CENTER LLC
Location Address100 SE 59TH STOklahoma City, OK 73129-3616
Mailing Address5600 N May Ave Ste 100Oklahoma City, OK 73112-4275 · (405) 418-2200 · Fax (405) 418-2901
Phone(408) 418-2200
Fax(405) 418-2901
Organization SubpartNo
Authorized OfficialDerek PrenticeOwner · (405) 650-4786
Enumeration DateOctober 26, 2022
NPPES CertifiedOctober 26, 2022
✔ NPI 1184341489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MobileAmbulatory Health Care Facilities
Taxonomy Code261QR0208X
100 SE 59TH ST, Oklahoma City, OK 73129
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBER KIRK
Nurse Anesthetist, Certified Registered
100 SE 59TH ST
OKLAHOMA CITY, OK 73129
Oklahoma County (405) 634-9300
SALLY SIBISKI KENNEDY APRN-CRNA PC
Nurse Anesthetist, Certified Registered
100 SE 59TH ST
OKLAHOMA CITY, OK 73129
Oklahoma County (405) 634-9300
WILLIAM C BRASHER CRNA
Nurse Anesthetist, Certified Registered
100 SE 59TH ST
OKLAHOMA CITY, OK 73129
Oklahoma County (405) 382-4050
WILLIAM C BRASHER
Nurse Anesthetist, Certified Registered
100 SE 59TH ST
OKLAHOMA CITY, OK 73129
Oklahoma County (405) 382-4050
SHO-NSH HOSPITAL LLC
General Acute Care Hospital
100 SE 59TH ST
OKLAHOMA CITY, OK 73129
Oklahoma County (405) 634-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Perigon Prostate Center LLC's NPI number?

The NPI number for Perigon Prostate Center LLC is 1184341489. It was assigned to this organization in the NPPES registry on October 26, 2022.

Where is Perigon Prostate Center LLC located?

Perigon Prostate Center LLC is located at 100 SE 59th St, Oklahoma City, OK 73129. The listed phone number is (408) 418-2200.

What is Perigon Prostate Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mobile, with taxonomy code 261QR0208X.

When was this NPI record last updated?

The NPPES record for Perigon Prostate Center LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.