Radiation Oncology PSC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

17318 Issued in KY

Legal business name

RADIATION ONCOLOGY PSC

Practice address

1000 Breckenridge Street
Suite 203
Owensboro, KY 42303-0876

Phone

(270) 926-7228

Fax

(270) 926-6559

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tristan Sta.Elena Briones, MD

Title

Owner

Phone

(270) 926-7228

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164513339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BRECKENRIDGE STREET",
            "address_2": "SUITE 203",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030876",
            "telephone_number": "270-926-7228",
            "fax_number": "270-926-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRECKENRIDGE STREET",
            "address_2": "SUITE 203",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423030876",
            "telephone_number": "270-926-7228",
            "fax_number": "270-926-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "STA.ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-926-7228",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "17318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65907636",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000040652",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT HEALTH PLAN",
            "identifier": "50003514",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "260109",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA HEALTH & RETIREMENT",
            "identifier": "RO 1278131",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Yvonne Quinn, APRN
• Brock Quinton
• Bethany Quisenberry
• Brittney G. Quisenberry, CSFA
• Radhika Inc.
• Radiology & Diagnostic Imaging 2 PSC
• Radiology and Diagnostic Imaging, PSC
• Radiology PSC
• Keri Rafferty, CST
• Sara Rafferty, PHARMD

• Radiation Oncology Physician in Owensboro, KY
• Providers in Owensboro, KY by specialty
• Radiation Oncology Physician in Kentucky

• 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.