NPIMap

Organization Active NPI

Gammawest Brachytherapy, LLC

Doing business as Gamma West Cancer Services

  • Radiation Oncology Physician
  • Salt Lake City, UT
National Provider Identifier
1053451617
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
2054905-0160 Issued in UT
Legal business name
GAMMAWEST BRACHYTHERAPY, LLC
Doing business as
Gamma West Cancer Services
Practice address
1250 E 3900 S # B-10
Salt Lake City, UT 84124-1348
Phone
(801) 456-8401
Fax
(801) 456-8408
NPI assigned
Feb 6, 2007
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Robbie Rhymer
Title
Evp HR & Coo
Phone
(156) 467-7415

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 2054905-0160 UT Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

1250 E 3900 S # B-10
Salt Lake City, UT 84124-1348

Mailing address

104 Woodmont Blvd Ste 500
Nashville, TN 37205-2245
Phone (615) 783-1254

Other names 1

  • Gamma West Cancer Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000967 UT Part B Supplier - Clinic/Group Practice 6800785510 Receives reassigned benefits from 8 practitioners
Practice locations: West Jordan, UT; St George, UT; Salt Lake City, UT; Orem, UT; Layton, UT; Ogden, UT

National Provider Directory

National Provider Directory

Locations

2132 N Robins Dr
Ste 101
Layton, UT 84041

425 E 5350 S
#180
Ogden, UT 84405
Phone (801) 475-4571

425 E 5350 S
Ste 180
Ogden, UT 84405

674 W 800 N
Ste B10
Orem, UT 84057
Phone (801) 475-4571

1250 E 3900 S
Ste 10
Salt Lake City, UT 84124
Phone (801) 456-8401

3820 S 700 E Ste 105
Salt Lake City, UT 84106

1250 E 3900 S
Ste 100
Salt Lake Cty, UT 84124
Phone (801) 262-0358

1308 E 900 S
Ste B
St George, UT 84790
Phone (435) 767-9104

Practitioners & affiliated clinicians

Practitioners 12

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1053451617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODMONT BLVD STE 500",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052245",
            "telephone_number": "615-783-1254",
            "fax_number": "615-783-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S # B-10",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-456-8401",
            "fax_number": "801-456-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMMAWEST BRACHYTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "RHYMER",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "EVP HR & COO",
        "authorized_official_telephone_number": "156-467-7415"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "UT",
            "license": "2054905-0160",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gamma West Cancer Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gamma West Cancer Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.