Active NPI
Georgetown Radiation Therapy Center
- Radiation Oncology Physician
- Georgetown, SC
National Provider Identifier
1053304675
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- GEORGETOWN RADIATION THERAPY CENTER
- Practice address
- 2405 N Fraser St
Georgetown, SC 29440-6410 - Phone
- (843) 545-5600
- NPI assigned
- Aug 30, 2005
- Last updated
- Nov 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Ward
- Title
- Executive Vice President/Chief Fina
- Phone
- (843) 527-7102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
2405 N Fraser St
Georgetown, SC 29440-6410
Mailing address
PO Drawer 1718
Georgetown, SC 29442-1718
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EA212264 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Pediatric Emergency Medicine (Pediatrics) Physician
- Charleston, SC
- NPI 1548413453
Member Of
Locations
4033 Highway 17
Unit 106
Murrells Inlt, SC 29576
Phone (843) 545-5600
9568 Kings Charter Dr
Ashland, VA 23005
Practitioners & affiliated clinicians
Practitioners 15
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.
-
- Radiation Oncology Physician
- Charleston, SC
- NPI 1578724878
-
- Radiation Oncology Physician
- Charleston, SC
- NPI 1629395223
-
- Radiation Oncology Physician
- Murrells Inlet, SC
- NPI 1033185442
-
- Radiation Oncology Physician
- Charleston, SC
- NPI 1790725695
-
- Radiation Oncology Physician
- Sumter, SC
- NPI 1881863389
-
- Radiation Oncology Physician
- Charleston, SC
- NPI 1194777243
-
- Radiation Oncology Physician
- Charleston, SC
- NPI 1083669527
-
- Radiation Oncology Physician
- Charleston, SC
- NPI 1992117493
-
- Radiation Oncology Physician
- Charleston, SC
- NPI 1043264369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1541376000000",
"number": "1053304675",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 1718",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294421718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2405 N FRASER ST",
"city": "GEORGETOWN",
"state": "SC",
"postal_code": "294406410",
"telephone_number": "843-545-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGETOWN RADIATION THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-30",
"last_updated": "2018-11-05",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT/CHIEF FINA",
"authorized_official_telephone_number": "843-527-7102"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EA212264",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Georgetown, SC
- Georgetown Physician Associates, LLC (Tidelands Health Oncology)
- Georgetown Physician Associates, LLC (Tidelands Health Family Medicine)
- Georgetown Physician Associates, LLC (Tidelands Health orthopaedics)
- Georgetown Physician Services LLC
- Georgetown Physician Services, LLC (Waccamaw Family Medicine)
- Georgetown Radiology
- Georgetown Treatment Specialists LLC
- Dana Patete Giarrizzi, D.O.
- Stephanie C Gibson, LPC
- James D Givens IV, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.