Terry D Powell Radiation Oncologist, Inc.

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

04-14232 Issued in KS

Legal business name

TERRY D POWELL RADIATION ONCOLOGIST, INC.

Practice address

1400 W 4TH St,
Radiation Oncology Dept
Coffeyville, KS 67337

Phone

(620) 252-1684

Fax

(620) 252-1692

NPI assigned

Feb 1, 2010

Last updated

Feb 1, 2010By 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

Terry Douglas Powell, M.D.NPI 1245268416

Title

President/Owner

Phone

(620) 252-1684

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 2

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.

• Terry Douglas Powell, MD

  • Therapeutic Radiology Physician
  • Coffeyville, KS
  • NPI 1245268416
  Authorized official Same address or phone
• Nathan Wilson Uy I, M.D.

  • Radiation Oncology Physician
  • Tulsa, OK
  • NPI 1437148954
  NPD (past)

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264982400000",
    "number": "1093047185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 993",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673370993",
            "telephone_number": "620-252-1684",
            "fax_number": "620-252-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 W 4TH ST,",
            "address_2": "RADIATION ONCOLOGY DEPT",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "67337",
            "telephone_number": "620-252-1684",
            "fax_number": "620-252-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY D POWELL RADIATION ONCOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2010-02-01",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "620-252-1684",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "KS",
            "license": "04-14232",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "OK",
            "license": "9106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100200170B",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100196610B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.