Provider Demographics
NPI:1871513218
Name:ONESON, RUTH H (MD)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:H
Last Name:ONESON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 COLTRANE PL STE 3
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-6783
Mailing Address - Country:US
Mailing Address - Phone:405-715-4500
Mailing Address - Fax:
Practice Address - Street 1:2701 COLTRANE PL STE 3
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-6783
Practice Address - Country:US
Practice Address - Phone:405-715-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK16447207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK10019980BMedicaid
731527740OtherTAX ID/GROUP MEDICARE