Active NPI
West Virginia Radiation Therapy Services Inc
- Radiation Oncology Physician
- Lewisburg, WV
National Provider Identifier
1164674156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- WEST VIRGINIA RADIATION THERAPY SERVICES INC
- Practice address
- 187 Skylar Dr
Lewisburg, WV 24901-9359 - Phone
- (304) 647-3500
- Fax
- (304) 647-4446
- NPI assigned
- Oct 21, 2008
- Organization subpart
- Yes
- Parent organization
- GENESISCARE USA OF FLORIDA INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaden Marzouk
- Title
- President
- Phone
- (239) 931-7254
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
187 Skylar Dr
Lewisburg, WV 24901-9359
Mailing address
1419 SE 8TH Ter Ste 200
Cape Coral, FL 33990-3213
Phone (239) 931-7342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
200 Arh Ln
#103B
Covington, VA 24426
Phone (540) 862-6662
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Princeton, WV
- NPI 1609816214
-
- Physician Assistant
- Princeton, WV
- NPI 1730512377
-
- Radiation Oncology Physician
- Lewisburg, WV
- NPI 1437192630
-
- Radiation Oncology Physician
- Princeton, WV
- NPI 1841231933
-
- Radiation Oncology Physician
- Key West, FL
- NPI 1598760936
-
- Radiation Oncology Physician
- Carlsbad, NM
- NPI 1720059918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1695600000000",
"number": "1164674156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 SE 8TH TER STE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903213",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "187 SKYLAR DR",
"city": "LEWISBURG",
"state": "WV",
"postal_code": "249019359",
"telephone_number": "304-647-3500",
"fax_number": "304-647-4446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST VIRGINIA RADIATION THERAPY SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GENESISCARE USA OF FLORIDA INC",
"enumeration_date": "2008-10-21",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A",
"authorized_official_last_name": "MARZOUK",
"authorized_official_first_name": "SHADEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "239-931-7254"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisburg, WV
- Ross Wilson Weisiger Jr.
- Wellnite Medical Group PA
- Tanyia Delane Wells
- West Virginia CVS Pharmacy LLC
- West Virginia Physical Therapy & Wellness Center, LLC
- West Virginia School of Osteopathic Medicine Clinic Inc (Robert C. Byrd Clinic)
- West Virginia School of Osteopathic Medicine Clinic Inc D/B/a Robert C. Byrd Clinic (Robert C Byrd Clinic)
- West Virginia School of Osteopathic Medicine Clinic Inc D/B/a Robert C. Byrd Clinic (Robert C. Byrd Clinic)
- Amanda Jane White, APRN, FNP-BC, CDCES
- Christopher L White, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.