RADIATION ONCOLOGY ASSOCIATES P.A. NPI 1750373692

NPI Information

NPI: 1750373692
Provider Name: RADIATION ONCOLOGY ASSOCIATES, P.A.
Classification: Radiology - 2085R0203X
Entity Type: Organization

Specialization: Therapeutic Radiology

Address:
4650 JEFFERSON LN NE
ALBUQUERQUE, NM
ZIP 87109
Phone: (505) 889-9639
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RADIATION ONCOLOGY ASSOCIATES, P.A. is a therapeutic radiology radiology in Albuquerque, NM. RADIATION ONCOLOGY ASSOCIATES, P.A. NPI is 1750373692. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4650 JEFFERSON LN NE
ALBUQUERQUE, NM
ZIP 87109-127
Phone: (505) 889-9639
Fax: (505) 889-2978

The provider's authorized official is Daniel M Pearce .
The authorized official title is Chief Operating Officer and has the following contact phone number (505) 883-4542.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0203X	Radiology	Therapeutic Radiology		NEW MEXICO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	45070	MEDICAID	NEW MEXICO

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

NPI Synchronization or Removal

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