The Tri-Cities Cancer Center

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

THE TRI-CITIES CANCER CENTER

Practice address

7350 W Deschutes Ave
BLDG a
Kennewick, WA 99336-7802

Phone

(509) 783-9894

Fax

(509) 783-3194

NPI assigned

Dec 6, 2005

Last updated

Aug 6, 2020By 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

Mr. Charles W Degooyer

Title

Ceo

Phone

(509) 783-9894

Specialties & licenses 1

Addresses

Other identifiers 2

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Kadlec Regional Medical Center

  dba Kadlec Regional Medical Center - Express Care

  • Clinic/Center
  • Kennewick, WA
  • NPI 1063967933

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596672000000",
    "number": "1013991652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 W DESCHUTES AVE",
            "address_2": "BLDG A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367802",
            "telephone_number": "509-783-9894",
            "fax_number": "509-783-3194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 W DESCHUTES AVE",
            "address_2": "BLDG A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367802",
            "telephone_number": "509-783-9894",
            "fax_number": "509-783-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TRI-CITIES CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A",
        "authorized_official_last_name": "DEGOOYER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-783-9894",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD ID #",
            "identifier": "470000264",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7060171",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hetal Thakor, DO
• Jillian Lee Thayer, MD
• The Childs Residence (Introducing You)
• The Kania Clinic
• The Speech Pathology Learning Center, LLC
• The Valley Alcohol Council (MERIT Resource Services)
• Rachelle Ann Theisen, RN
• Therapeutic Associates Inc (TAI West Kennewick Physical Therapy)
• Therapeutic Associates Inc (TAI - Southridge)
• Therapeutic Riding of Tri-Cities (Trot)

• Radiation Oncology Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Radiation Oncology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.