Blue Ridge Radiation Associates, PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

BLUE RIDGE RADIATION ASSOCIATES, PA

Practice address

2000 E Greenville St
Anderson, SC 29621-1580

Phone

(864) 512-4600

Fax

(864) 512-4621

NPI assigned

Mar 8, 2017

Last updated

Mar 8, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Leander Cannick III, MDNPI 1881705671

Title

Owner

Phone

(843) 437-7892

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leander Cannick III, M.D.

  • Radiation Oncology Physician
  • Anderson, SC
  • NPI 1881705671
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1003356171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6187",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296236187",
            "telephone_number": "512-583-0205",
            "fax_number": "512-583-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E GREENVILLE ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296211580",
            "telephone_number": "864-512-4600",
            "fax_number": "864-512-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE RADIATION ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "CANNICK",
        "authorized_official_first_name": "LEANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-437-7892",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Bloomer
• Grady Blount
• Morgan Blount
• Blue Ridge Oral and Maxillofacial Surgery PA
• Blue Ridge Orthopaedic Assoc, PA
• Blue Ridge Radiation Oncology PA
• Blue Ridge Radiation Oncology PA
• Jennifer Blum, DO
• Brianna Copeland Bobo, PHARMACIST
• Amber Boggs

• Radiation Oncology Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Radiation Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.