Oklahoma Cancer Specialists and Research Institute LLC
NPI 1104291236 · MOHS-Micrographic Surgery Physician · Broken Arrow, OK
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Oklahoma Cancer Specialists and Research Institute LLC is a MOHS-Micrographic Surgery Physician organization in Broken Arrow, OK (NPI 1104291236).
Provider details
- NPI number
- 1104291236
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Daron Street, President(918) 505-3200
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Procedural Dermatology Physician207NS0135X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-12-01
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Oklahoma Cancer Specialists and Research Institute LLC's NPI number?
- Oklahoma Cancer Specialists and Research Institute LLC's National Provider Identifier (NPI) is 1104291236, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Oklahoma Cancer Specialists and Research Institute LLC?
- Oklahoma Cancer Specialists and Research Institute LLC is classified in the NPPES registry as MOHS-Micrographic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Oklahoma Cancer Specialists and Research Institute LLC located?
- Oklahoma Cancer Specialists and Research Institute LLC's practice location on file with NPPES is 800 W Boise Cir Ste 400, Broken Arrow, OK 74012-4974.
- What is Oklahoma Cancer Specialists and Research Institute LLC's phone number?
- The practice phone number listed in the NPPES registry for Oklahoma Cancer Specialists and Research Institute LLC is (918) 307-0215.
- Does Oklahoma Cancer Specialists and Research Institute LLC accept Medicare?
- Oklahoma Cancer Specialists and Research Institute LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Oklahoma Cancer Specialists and Research Institute LLC?
- The authorized official listed on Oklahoma Cancer Specialists and Research Institute LLC's NPPES record is Daron Street, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Oklahoma Cancer Specialists and Research Institute LLC's NPI active?
- Yes — Oklahoma Cancer Specialists and Research Institute LLC's NPI (1104291236) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.