NPIMap

Organization Active NPI

Radiation Oncology St Mary Place LLC

  • Radiation Oncology Physician
  • Shreveport, LA
National Provider Identifier
1225258809
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
022404 Issued in LA
Legal business name
RADIATION ONCOLOGY ST MARY PLACE LLC
Practice address
One Saint Mary Place
Cancer Treatment Center
Shreveport, LA 71101-4343
Phone
(318) 681-4126
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Lane Rosen, MDNPI 1831119197
Title
MD Owner
Phone
(318) 222-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 022404 LA Primary

Addresses

Primary practice location

One Saint Mary Place
Cancer Treatment Center
Shreveport, LA 71101-4343

Mailing address

PO Box 9600
Dept 09 042
Texarkana, TX 75505

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1225258809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9600",
            "address_2": "DEPT 09 042",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "75505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE SAINT MARY PLACE",
            "address_2": "CANCER TREATMENT CENTER",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711014343",
            "telephone_number": "318-681-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY ST MARY PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "318-222-1149",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "022404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.