SOUTHSIDE RADIATION ONCOLOGY NPI 1295941516

NPI Information

  • NPI: 1295941516
  • Provider Name: SOUTHSIDE RADIATION ONCOLOGY
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Address: 320 HOSPITAL DR
    MEMORIAL HOSPITAL
    MARTINSVILLE, VA
    ZIP 24112
  • Phone: (276) 666-7200

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NPI Details

SOUTHSIDE RADIATION ONCOLOGY is a radiation oncology radiology in Martinsville, VA. 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. SOUTHSIDE RADIATION ONCOLOGY NPI is 1295941516. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

320 HOSPITAL DR
MEMORIAL HOSPITAL
MARTINSVILLE, VA
ZIP 24112-900
Phone: (276) 666-7200

The provider's authorized official is Heather Williams .
The authorized official title is Billing Specialist and has the following contact phone number (336) 378-0076.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 10/15/2007.

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
12085R0001XRadiologyRadiation Oncology0101032577VIRGINIAYes

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
1186856OTHERANTHEM BCBS
2C09710MEDICARE PINVIRGINIA
38936188MEDICAIDNORTH CAROLINA

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: 11/21/2025

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