Active NPI
Edward E Rogoff, M.D.
- Radiation Oncology Physician
- Tucson, AZ
National Provider Identifier
1003862632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 104586
- Practice address
- 2625 N Craycroft Rd
Ste 100
Tucson, AZ 85712-2254 - Phone
- (520) 324-4214
- Fax
- (520) 324-2680
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 104586 | AZ | Primary |
Addresses
Primary practice location
2625 N Craycroft Rd
Ste 100
Tucson, AZ 85712-2254
Mailing address
1760 E River Rd
350
Tucson, AZ 85718-5999
Phone (520) 519-7720
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235706 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104586 | AZ | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona Oncology Associates PC | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194480000000",
"number": "1003862632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1760 E RIVER RD",
"address_2": "350",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857185999",
"telephone_number": "520-519-7720",
"fax_number": "520-519-5181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2625 N CRAYCROFT RD",
"address_2": "STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857122254",
"telephone_number": "520-324-4214",
"fax_number": "520-324-2680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGOFF",
"first_name": "EDWARD",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2007-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "AZ",
"license": "104586",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "235706",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.