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RADIATION ONCOLOGY ASSOCIATES P C NPI 1457337719


NPI Information

NPI: 1457337719
Provider Name: RADIATION ONCOLOGY ASSOCIATES P C
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
7910 W JEFFERSON BLVD STE 110
FORT WAYNE, IN
ZIP 46804
Phone: (260) 436-4116
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RADIATION ONCOLOGY ASSOCIATES P C is a radiation oncology radiology in Fort Wayne, IN. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. RADIATION ONCOLOGY ASSOCIATES P C NPI is 1457337719. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7910 W JEFFERSON BLVD STE 110
FORT WAYNE, IN
ZIP 46804-159
Phone: (260) 436-4116

The provider's authorized official is Nanette J Isenbarger .
The authorized official title is Practice Manager and has the following contact phone number (260) 918-2701.

The enumeration date for this NPI number is 12/19/2005 and was last updated on 12/7/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1100257820AMEDICAIDINDIANA
20533239MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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