Radiation Oncology of Mississippi PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

RADIATION ONCOLOGY OF MISSISSIPPI PA

Practice address

970 Lakeland Dr
Suite 34
Jackson, MS 39216-4635

Phone

(601) 362-0600

Fax

(601) 362-1186

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Steven E Zachow, MDNPI 1518969724

Title

President

Phone

(601) 376-2074

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven E Zachow, MD

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1518969724
  Medicare reassignment Care Compare group NPD Authorized official
• Eric L Balfour, M.D.

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1861442436
  Medicare reassignment Care Compare group NPD
• Stephen D Johnson, FNP

  • Family Nurse Practitioner
  • Jackson, MS
  • NPI 1598068892
  Medicare reassignment Care Compare group NPD
• Julia Anne Newell, NP

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1831907690
  Medicare reassignment Care Compare group NPD
• Margie Jeanann Suggs, M.D.

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1225325699
  Medicare reassignment Care Compare group NPD
• Margaret E Wadsworth, M.D.

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1821291790
  Medicare reassignment Care Compare group NPD
• Sidney A Johnson Jr., MD

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1497757603
  Medicare reassignment Care Compare group
• Gregg Alan Dickerson, M.D.

  • Radiation Oncology Physician
  • Greenville, MS
  • NPI 1699777854
  NPD (past)
• Harvey Brian Balfour, MD

  • Radiation Oncology Physician
  • Sumter, SC
  • NPI 1760473185
  NPD (past)
• Mark A. Thompson, MD

  • Radiation Oncology Physician
  • Overland Park, KS
  • NPI 1669444030
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676332800000",
    "number": "1003905266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 LAKELAND DR",
            "address_2": "SUITE 34",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164635",
            "telephone_number": "601-362-0600",
            "fax_number": "601-362-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 LAKELAND DR",
            "address_2": "SUITE 34",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164635",
            "telephone_number": "601-362-0600",
            "fax_number": "601-362-1186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY OF MISSISSIPPI PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "ZACHOW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-376-2074",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09012235",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009012235",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ACH",
            "identifier": "91-066530",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• R S Enterprise
• R. Kirk Smithhart, O.D. Inc.
• R&C Medical Wig Service
• Stephen Raab, MD
• Radiation Oncology Associates of Mississippi
• Holly L Radicioni, SLP
• Radiological Group, PA
• Michael Raffetto, MD
• Katherine Leigh Ragland, M.D.
• Timothy James Ragland, M.D.

• Radiation Oncology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Radiation Oncology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; 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.