Vicksburg Oncology Associates LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

VICKSBURG ONCOLOGY ASSOCIATES LLC

Practice address

970 Lakeland Dr Ste 34
Jackson, MS 39216-4640

Phone

(601) 362-0600

Fax

(601) 638-3227

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Steven Zachow, MC

Title

President

Phone

(601) 638-3005

Specialties & licenses 1

Addresses

Other identifiers 5

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric L Balfour, M.D.

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1861442436
  NPD (past)
• Richard B Friedman, MD

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1013919216
  NPD (past)
• Margie Jeanann Suggs, M.D.

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1225325699
  NPD (past)
• Margaret E Wadsworth, M.D.

  • Radiation Oncology Physician
  • Jackson, MS
  • NPI 1821291790
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1174613830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4997",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392964997",
            "telephone_number": "601-362-0600",
            "fax_number": "601-638-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 LAKELAND DR STE 34",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164640",
            "telephone_number": "601-362-0600",
            "fax_number": "601-638-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKSBURG ONCOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "ZACHOW",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-638-3005",
        "authorized_official_credential": "MC"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014095",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1961817",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ACH",
            "identifier": "91-066632",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1961825",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1944653",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andres G Viana, PH.D
• Kenneth Dylan Vick, M.D.
• Laura Richards Vick, M.D.
• Sharon D Vickers, CFNP
• Vicksburg Hma Physician Management LLC (Medical Associates of Vicksburg)
• Victorious Healthcare L.L.C.
• Victory Transportation Inc.
• Cynna-Rose Catrina Vierling
• Srinivasan Vijayakumar, M.D.
• Akshaya Vijayasankar

• Radiation Oncology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Radiation Oncology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; 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.