Active NPI
South Arkansas RT Associates LLC
- Radiation Oncology Physician
- El Dorado, AR
National Provider Identifier
1104125616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- SOUTH ARKANSAS RT ASSOCIATES LLC
- Practice address
- 503 Thompson Ave
El Dorado, AR 71730-4555 - Phone
- (870) 864-0318
- Fax
- (870) 862-9660
- NPI assigned
- Mar 23, 2011
- 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
- Mr. Armando J Rosell
- Title
- Authorized Official
- Phone
- (405) 702-0888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
503 Thompson Ave
El Dorado, AR 71730-4555
Mailing address
236 NW 62ND St
Oklahoma City, OK 73118-7422
Phone (405) 775-4420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110827000008 | AR | Part B Supplier - Clinic/Group Practice | 3577733641 |
Receives reassigned benefits from 1 practitioner Practice locations: El Dorado, AR |
National Provider Directory
National Provider DirectoryLocations
803 Thompson Ave
AR 71730
503 Thompson Ave
El Dorado, AR 71730
Phone (870) 854-0318
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561420800000",
"number": "1104125616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 NW 62ND ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731187422",
"telephone_number": "405-775-4420",
"fax_number": "405-841-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 THOMPSON AVE",
"city": "EL DORADO",
"state": "AR",
"postal_code": "717304555",
"telephone_number": "870-864-0318",
"fax_number": "870-862-9660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH ARKANSAS RT ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-23",
"last_updated": "2019-06-25",
"status": "A",
"authorized_official_last_name": "ROSELL",
"authorized_official_first_name": "ARMANDO",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "405-702-0888",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Dorado, AR
- South Arkansas Regional Health Center Psy GRP
- South Arkansas Regional Health Center, Community Support Program
- South Arkansas Regional Heatlh Center
- South Arkansas Regional Hospital LLC
- South Arkansas Regional Hospital LLC
- South Arkansas Substance Abuse
- South Arkansas Substance Abuse
- South Arkansas Womens Clinic PLC
- South Arkansas Youth Services, Inc
- South Central Hospitalists, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.