Organization Active NPI

Radiation Therapy Associates PC

  • Radiation Oncology Physician
  • Garden City, MI
National Provider Identifier
1154419430
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
5101008299 Issued in MI
Legal business name
RADIATION THERAPY ASSOCIATES PC
Practice address
6255 Inkster Rd
Ste B7
Garden City, MI 48135-2577
Phone
(734) 522-8540
Fax
(734) 522-5405
NPI assigned
Oct 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ronald C Lutsic, DO
Title
Owner
Phone
(734) 522-8540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 5101008299 MI Primary

Addresses

Primary practice location

6255 Inkster Rd
Ste B7
Garden City, MI 48135-2577

Mailing address

6255 Inkster Rd
Ste B7
Garden City, MI 48135-2577
Phone (734) 522-8540

Other identifiers 1

IdentifierTypeStateIssuer
1674558MedicaidMI

National Provider Directory

National Provider Directory

Locations

8959 Reliable Pkwy
Chicago, IL 60686

6255 Inkster Rd
Ste B07
Garden City, MI 48135
Phone (734) 458-7218

6255 Inkster Rd
Ste 7
Garden City, MI 48135
Phone (734) 522-8540

14600 King Rd
Ste B1
Riverview, MI 48193
Phone (734) 479-6017

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": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154419430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "STE B7",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-522-8540",
            "fax_number": "734-522-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 INKSTER RD",
            "address_2": "STE B7",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481352577",
            "telephone_number": "734-522-8540",
            "fax_number": "734-522-5405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION THERAPY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUTSIC",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-522-8540",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "5101008299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1674558",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.