Premier Radiation Oncology, Inc.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

11879 Issued in WV

Legal business name

PREMIER RADIATION ONCOLOGY, INC.

Practice address

2900 1St Ave
Huntington, WV 25702-1241

Phone

(304) 526-1143

Fax

(304) 526-8942

NPI assigned

Oct 12, 2009

Organization subpart

No

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

Authorized official

Name

Diane Miller

Title

Billing Director

Phone

(973) 444-2664

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Practitioners 2

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

• Sanjeev S Sharma, MD

  • Radiation Oncology Physician
  • Huntington, WV
  • NPI 1164409884
  Medicare reassignment NPD
• Philip B Lepanto, MD

  • Radiation Oncology Physician
  • Huntington, WV
  • NPI 1376520197
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351123200000",
    "number": "1174858039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070651104",
            "telephone_number": "973-444-2664",
            "fax_number": "732-943-2702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 1ST AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021241",
            "telephone_number": "304-526-1143",
            "fax_number": "304-526-8942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RADIATION ONCOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-12",
        "last_updated": "2012-10-25",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "973-444-2664"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "WV",
            "license": "11879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina A Prater
• John Michael Pratt, PRSS
• Michelle Pratt Pratt
• Natalie Pratt, BC-HIS
• Ryan Pratt, AU.D.
• Premise Health of West Virginia Medical, Medical Corporation (AT & T Health Center)
• John Prentice, PSY.D
• Mia Simone Prentice
• Cheyenne N Presley
• Savannah N Presley

• Radiation Oncology Physician in Huntington, WV
• Providers in Huntington, WV by specialty
• Radiation Oncology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.

Verify at the official NPI Registry.