Active NPI
Southwest Oncology PC
- Hematology & Oncology Physician
- Durango, CO
National Provider Identifier
1104922350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- SOUTHWEST ONCOLOGY PC
- Practice address
- 1 Mercado St Ste 100
Durango, CO 81301-7300 - Phone
- (970) 385-7977
- NPI assigned
- Sep 15, 2006
- 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
- Dr. Steven E Bush, M.D.
- Title
- President
- Phone
- (970) 385-7977
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary |
Addresses
Primary practice location
1 Mercado St Ste 100
Durango, CO 81301-7300
Mailing address
PO Box 5581
Denver, CO 80217-5581
Phone (970) 385-7977
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 849888 | Medicaid | AZ | |
| SO65319 | Other | CO | BLUE CROSS BLUE SHIELD |
| 205165100 | Other | CO | DPT OF LABOR WORKCOMP |
| K6916 | Medicaid | NM | |
| 020277599 | Other | CO | ENERGY EMPLOYEE OCCUP |
| 02721287 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1 Mercado St
Ste 100A
Durango, CO 81301
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Durango, CO
- NPI 1780687889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1104922350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5581",
"city": "DENVER",
"state": "CO",
"postal_code": "802175581",
"telephone_number": "970-385-7977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCADO ST STE 100",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017300",
"telephone_number": "970-385-7977"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHWEST ONCOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2008-04-20",
"status": "A",
"authorized_official_last_name": "BUSH",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "970-385-7977",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "849888",
"state": "AZ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "SO65319",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPT OF LABOR WORKCOMP",
"identifier": "205165100",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "K6916",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ENERGY EMPLOYEE OCCUP",
"identifier": "020277599",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02721287",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
- Southwest Endoscopy Center
- Southwest Endoscopy Partners LLC
- Southwest Eye Consultants PLLC
- Southwest Foot and Ankle PC
- Southwest Midwives, Inc
- Southwest Retina Consultants PC
- Southwest Retina Research Center, LLC (Southwest Retina Research Center)
- Southwest Surgical Associates PC
- Southwest Womens Health Associates
- Southwestern Colorado Ear Nose and Throat
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.