Summit Radiation Oncology,P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

27422 Issued in CO

Legal business name

SUMMIT RADIATION ONCOLOGY,P.C.

Practice address

8300 W 38TH Ave
Wheat Ridge, CO 80033-6005

Phone

(303) 629-3610

Fax

(303) 595-6806

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Charles A Mateskon, MDNPI 1639279763

Title

President

Phone

(303) 629-3610

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles A Mateskon, MD

  • Radiation Oncology Physician
  • Lone Tree, CO
  • NPI 1639279763
  NPD (past) Authorized official
• Kevin L Schewe, M.D.

  • Radiation Oncology Physician
  • Thornton, CO
  • NPI 1902883952
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1073694782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 W. 38TH AVENUE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800330000",
            "telephone_number": "303-629-3610",
            "fax_number": "303-595-6806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-629-3610",
            "fax_number": "303-595-6806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RADIATION ONCOLOGY,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MATESKON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-629-3610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "27422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01274224",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauryn Rose Sulley, NP
• Cort Patrick Sullivan
• Kyle Sullivan, MD
• Lauren Elizabeth Sullivan, LCSW
• Sara Sullivan
• Sunstar Psychiatry Services PLLC
• Jennifer L Sutton
• Rachel Baty Suydam, MS, OTR/L
• Kelli Swan, M.S.
• Lacy Swank

• Specialist in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.