Active NPI
Radiation Therapy Associates PC
- Radiation Oncology Physician
- Garden City, MI
National Provider Identifier
1154419430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 5101008299
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1674558 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Radiation Oncology Physician
- Garden City, MI
- NPI 1336312867
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.