Active NPI
Kerrville Cancer Center LTD
- Radiation Oncology Clinic/Center
- Kerrville, TX
National Provider Identifier
1083622781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Clinic/Center
- License
- R17560
- Legal business name
- KERRVILLE CANCER CENTER LTD
- Practice address
- 218 Sidney Baker St
Kerrville, TX 78028-5367 - Phone
- (830) 257-2070
- Fax
- (830) 257-2079
- NPI assigned
- Aug 4, 2006
- Last updated
- Mar 11, 2008
- 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
- Sandy Rios, CCS-P
- Title
- Administrative Assistant
- Phone
- (830) 257-2191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Clinic/Center | 261QX0203X | R17560 | TX | Primary |
Addresses
Primary practice location
218 Sidney Baker St
Kerrville, TX 78028-5367
Mailing address
218 Sidney Baker St
Kerrville, TX 78028-5367
Phone (830) 257-2070
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0143426801 | Medicaid | TX | |
| 0153DC | Other | TX | BC/BS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Radiation Oncology Physician
- Tyler, TX
- NPI 1538177217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205193600000",
"number": "1083622781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 SIDNEY BAKER ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285367",
"telephone_number": "830-257-2070",
"fax_number": "830-257-2079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 SIDNEY BAKER ST",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285367",
"telephone_number": "830-257-2070",
"fax_number": "830-257-2079"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KERRVILLE CANCER CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2008-03-11",
"status": "A",
"authorized_official_last_name": "RIOS",
"authorized_official_first_name": "SANDY",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "830-257-2191",
"authorized_official_credential": "CCS-P"
},
"taxonomies": [
{
"code": "261QX0203X",
"taxonomy_group": "",
"desc": "Clinic/Center, Oncology, Radiation",
"state": "TX",
"license": "R17560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0143426801",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "0153DC",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
- Kerr County Chiropractic
- Kerr County OB/GYN Associates, P.a. (OB/GYN Associates, P.A.)
- Kerr County Sub-Specialists, PA
- Kerrville Allergy and Asthma Associates, P.a.
- Kerrville Ambulatory Surgery Center, LLC
- Kerrville Cancer Center PLLC
- Kerrville Cardiovascular Center
- Kerrville Drug Co., Inc (Kerrville Drug Co)
- Kerrville Drug Co., Inc (Kerrville Drug Co.)
- Kerrville Eye Center PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.