Pacific Radiation Oncology LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

10717599 Issued in HI

Legal business name

PACIFIC RADIATION ONCOLOGY LLC

Practice address

2226 Liliha St Ste B2
Honolulu, HI 96817-1605

Phone

(808) 547-6881

Fax

(808) 744-6958

NPI assigned

Jun 17, 2006

Last updated

Sep 26, 2018By 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

Marissa Muniz

Title

Business Manager

Phone

(808) 744-6187

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 11

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.

• Susie A Chen, M.D.

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1164609517
  Medicare reassignment Care Compare group
• John L. Lederer, M.D.

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1740253327
  Medicare reassignment Care Compare group
• Richard Y Lee, MD PHD

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1922261718
  Medicare reassignment Care Compare group
• Laeton J. Pang, M.D.

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1083687685
  Medicare reassignment Care Compare group
• Michael C Roach, MD

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1114226735
  Medicare reassignment Care Compare group
• Christina Koo Speirs, MD PHD

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1386934495
  Medicare reassignment Care Compare group
• Alexandra Taira

  • Case Manager/Care Coordinator
  • Honolulu, HI
  • NPI 1023945433

  Multi-Specialty

  NPD
• Mark T. Kanemori, M.D.

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1033182613
  NPD (past)
• Pi-Ju Christina Liu, M.D.

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1851364897
  NPD (past)
• Scott D.M. Moon, M.D.

  • Radiation Oncology Physician
  • Honolulu, HI
  • NPI 1366415309
  NPD (past)
• Eva Bieniek, M.D.

  • Radiation Oncology Physician
  • Ypsilanti, MI
  • NPI 1104053099
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1003851932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST STE 210",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171605",
            "telephone_number": "808-744-6187",
            "fax_number": "808-744-6958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST STE B2",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171605",
            "telephone_number": "808-547-6881",
            "fax_number": "808-744-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RADIATION ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "MUNIZ",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "808-744-6187"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "HI",
            "license": "10717599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Physical Medicine Associates LLP
• Pacific Physical Therapy
• Pacific Professional Services, LLC
• Pacific Psychiatric Services, LLC
• Pacific Psychology Services Center, LLC
• Pacific Radiology Group Inc
• Pacific Rim Play Therapy LLC
• Pacific Shores Psychology LLC
• Pacific Sports & Rehabilitation Center, LLC
• Pacific Sports Rehab,LLC

• Radiation Oncology Physician in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Radiation Oncology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.