Individual provider Active NPI

Janet Marie Nettleton, M.D.

  • Therapeutic Radiology Physician
  • Sierra Vista, AZ
National Provider Identifier
1285698720
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
27594 Issued in AZ
Practice address
5151 E Hwy 90
Sierra Vista, AZ 85635
Phone
(520) 803-6644
Fax
(520) 459-3193
NPI assigned
Apr 13, 2006
Last updated
Feb 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X 27594 AZ Primary

Addresses

Primary practice location

5151 E Hwy 90
Sierra Vista, AZ 85635

Mailing address

5151 E Highway 90
Sierra Vista, AZ 85635-2436
Phone (520) 803-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000915 AZ Practitioner - Radiation Oncology 1557260569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Eastern Virginia Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cochise Oncology LLCGroup PAC ID 2567474083, 6 clinicians

Practice addresses (Care Compare)

300 El Camino Real
Sierra Vista, AZ 85635-2812
Phone (520) 458-4641

5151 E Hwy 90
Sierra Vista, AZ 85635-2436
Phone (520) 803-6644

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27594AZMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cochise Oncology LLC Radiation Oncology CurrentSince Jun 1, 2006 Accepting new patients
Cochise Medical Oncology, LLC PastSince Nov 4, 2013 Accepting new patients
MD Med Inc Past Accepting new patients
Gordon Grado, M.D., Inc Radiation Oncology Past Accepting new patients

Locations

300 El Camino Real
Sierra Vista, AZ 85635
Phone (520) 417-4594

5151 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 803-6644

Interoperability endpoints

  • Direct secure messaging: janet.nettleton@2042.securemail.mdnavigatorclinical.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361404800000",
    "number": "1285698720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E HIGHWAY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856352436",
            "telephone_number": "520-803-6644",
            "fax_number": "520-459-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E HWY 90",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "85635",
            "telephone_number": "520-803-6644",
            "fax_number": "520-459-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETTLETON",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2013-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "AZ",
            "license": "27594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sierra Vista, AZ

Sources for this page

Verify at the official NPI Registry.