Texas Radiation Oncology Medical Group, PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

TEXAS RADIATION ONCOLOGY MEDICAL GROUP, PLLC

Practice address

2800 State Hwy 114 East
Suite 100
Trophy Club, TX 76262

Phone

(817) 693-0900

NPI assigned

Sep 19, 2014

Last updated

Jan 9, 2015By 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

Dr. Ajmel A Puthawala, MDNPI 1245249325

Title

Medical Doctor

Phone

(714) 962-1700

Specialties & licenses 1

Addresses

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.

• Ajmel A Puthawala, M.D.

  • Radiation Oncology Physician
  • Fountain Valley, CA
  • NPI 1245249325
  NPD (past) Authorized official

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1073915245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 E COAST HWY",
            "address_2": "200",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252236",
            "telephone_number": "949-385-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 STATE HWY 114 EAST",
            "address_2": "SUITE 100",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "76262",
            "telephone_number": "817-693-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS RADIATION ONCOLOGY MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-19",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "PUTHAWALA",
        "authorized_official_first_name": "AJMEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "714-962-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy L Stetz, P.A.-C., M.ED.
• Christina Patchen Stuckey, DPT
• Charles Stump
• TCR Chiropractic PLLC
• Texas Em-1 Medical Services, PA
• The Powerful Body PLLC
• Shilpa Elizabeth Thomas, DPT
• Town of Trophy Club (Trophy Club EMS)
• Trophy Club Family Medicine PA (Trophy Club Family Medicine)
• Trophy Club Medical Center LP (Baylor Scott & White Medical Center - Trophy Club)

• Radiation Oncology Physician in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; 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.