Organization Active NPI

Virginia Radiation Therapy and Oncology

Doing business as Mid Rivers Cancer Center

  • Radiation Oncology Physician
  • Montross, VA
National Provider Identifier
1043371057
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
0101044101 Issued in VA
Legal business name
VIRGINIA RADIATION THERAPY AND ONCOLOGY
Doing business as
Mid Rivers Cancer Center
Practice address
15394 Kings Hwy
Montross, VA 22520-2746
Phone
(804) 493-8880
Fax
(804) 493-9993
NPI assigned
Dec 13, 2006
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Christopher S. Walsh, M.D.NPI 1699836676
Title
Director
Phone
(804) 493-8880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 0101044101 VA Primary

Addresses

Primary practice location

15394 Kings Hwy
Montross, VA 22520-2746

Mailing address

PO Box 8510
Fredericksburg, VA 22404-8510
Phone (804) 493-8880

Other identifiers 3

IdentifierTypeStateIssuer
503970OtherVANCPPO
211132OtherVAANTHEM BLUE CROSS VA
CL1681OtherVAMEDICARE RAILROAD

Other names 1

  • Mid Rivers Cancer Center Doing business as

National Provider Directory

National Provider Directory

Locations

12000 Kennedy Ln
Ste 104
Fredericksbrg, VA 22407
Phone (540) 785-4488

607 William St
Ste 201
Fredericksbrg, VA 22401
Phone (703) 371-1363

6105 Health Center Ln
Fredericksburg, VA 22407
Phone (540) 786-5262

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1043371057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8510",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224048510",
            "telephone_number": "804-493-8880",
            "fax_number": "804-493-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15394 KINGS HWY",
            "city": "MONTROSS",
            "state": "VA",
            "postal_code": "225202746",
            "telephone_number": "804-493-8880",
            "fax_number": "804-493-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA RADIATION THERAPY AND ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "804-493-8880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101044101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPPO",
            "identifier": "503970",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS VA",
            "identifier": "211132",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CL1681",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Rivers Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montross, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.