NPIMap

Organization Active NPI

Spartanburg Radiation Oncology Associates, PA

  • Radiation Oncology Physician
  • Spartanburg, SC
National Provider Identifier
1114018470
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
SPARTANBURG RADIATION ONCOLOGY ASSOCIATES, PA
Practice address
101 East Wood Street
Radiation Oncology
Spartanburg, SC 29303-3040
Phone
(864) 560-6917
Fax
(864) 560-6014
NPI assigned
Sep 28, 2006
Last updated
Oct 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julian C. Josey Jr., MD
Title
President, Ceo
Phone
(864) 560-6917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

101 East Wood Street
Radiation Oncology
Spartanburg, SC 29303-3040

Mailing address

75 Remittance Dr
Ste 6588
Chicago, IL 60675-1001

Other identifiers 2

IdentifierTypeStateIssuer
GP0371MedicaidSC
890124VMedicaidNC

National Provider Directory

National Provider Directory

Locations

75 Remittance Dr
Dept 6588
Chicago, IL 60675

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1114018470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR",
            "address_2": "STE 6588",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606751001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 EAST WOOD STREET",
            "address_2": "RADIATION ONCOLOGY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293033040",
            "telephone_number": "864-560-6917",
            "fax_number": "864-560-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARTANBURG RADIATION ONCOLOGY ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "JOSEY",
        "authorized_official_first_name": "JULIAN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "864-560-6917",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP0371",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890124V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.