Radiosurgical Center of Memphis, L.P.

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

Legal business name

RADIOSURGICAL CENTER OF MEMPHIS, L.P.

Doing business as

Radiosurgical Center of Memphis, L.P.

Practice address

1265 Union Ave
Memphis, TN 38104-3415

Phone

(901) 726-6444

Fax

(901) 726-6145

NPI assigned

Mar 22, 2007

Last updated

Nov 22, 2021By 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. John Wellhausen

Title

Administrator

Phone

(901) 726-6444

Specialties & licenses 2

Addresses

Other names 1

• RADIOSURGICAL CENTER OF MEMPHIS, L.P. Doing business as

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033235619. Details of each certification follow.

• CCN 44C0001063 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 44C0001063

Legal name

RADIOSURGICAL CENTER OF MEMPHIS

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Aug 15, 1995

Last certification

Apr 11, 2018

Ownership / control type

Proprietary

Facility address

1265 Union Avenue
Memphis, TN 38104

Locations

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.

• Cynthia A Dabney, MD

  • Radiation Oncology Physician
  • Memphis, TN
  • NPI 1598768996
  NPD

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1033235619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-726-6444",
            "fax_number": "901-726-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 UNION AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381043415",
            "telephone_number": "901-726-6444",
            "fax_number": "901-726-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIOSURGICAL CENTER OF MEMPHIS, L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-17",
        "status": "A",
        "authorized_official_last_name": "WELLHAUSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "901-726-6444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TN",
            "license": "0000000074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RADIOSURGICAL CENTER OF MEMPHIS, L.P.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Radiation Oncology Memphis PLLC
• Russell D. Radican, DC
• Barbara Cooper Radinsky, LMFT
• Radiographics, Inc
• Radiographics, Inc.
• Radix Wellness, LLC (Sundara Wellness)
• Radix Wellness, LLC
• David Rafacz, DO
• Wania Rafaey
• James Carlton Ragain Jr., DDS, MS, PHD

• Radiologic Technologist in Memphis, TN
• Providers in Memphis, TN by specialty
• Radiologic Technologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.