Organization Active NPI

Radiation Oncology Associates of Gulf Coast, L.L.P.

Doing business as Roagc

  • Therapeutic Radiology Physician
  • Wharton, TX
National Provider Identifier
1295809978
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
Legal business name
RADIATION ONCOLOGY ASSOCIATES OF GULF COAST, L.L.P.
Doing business as
Roagc
Practice address
1400 Highway 59 Loop N
Wharton, TX 77488-7807
Phone
(361) 576-9812
Fax
(361) 574-1580
NPI assigned
Nov 17, 2006
Last updated
Feb 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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

Authorized official

Name
Mrs. Grace Ling Chen, R.N.,PH.D.
Title
Office Administrator
Phone
(361) 576-9812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X Primary

Addresses

Primary practice location

1400 Highway 59 Loop N
Wharton, TX 77488-7807

Mailing address

1502 E Red River St
#330
Victoria, TX 77901-5523
Phone (361) 576-9812

Other identifiers 6

IdentifierTypeStateIssuer
083512601MedicaidTX
A13659OtherTXDAVID L JANSEN, MD, UPIN
1093894198OtherDAVID L. JANSSEN, M.D., NPI
E21013OtherTXKARL K. CHEN, MD, UPIN
1538248695OtherKARL K. CHEN, M.D., NPI
00K53DOtherTXBLUE CROSS BLUE SHIELD

Other names 1

  • ROAGC Doing business as

National Provider Directory

National Provider Directory

Locations

1502 E Red River St
#330
Victoria, TX 77901

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1295809978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 E RED RIVER ST",
            "address_2": "#330",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779015523",
            "telephone_number": "361-576-9812",
            "fax_number": "361-574-1580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HIGHWAY 59 LOOP N",
            "city": "WHARTON",
            "state": "TX",
            "postal_code": "774887807",
            "telephone_number": "361-576-9812",
            "fax_number": "361-574-1580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY ASSOCIATES OF GULF COAST, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_middle_name": "LING",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "361-576-9812",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N.,PH.D."
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083512601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID L JANSEN, MD, UPIN",
            "identifier": "A13659",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID L. JANSSEN, M.D., NPI",
            "identifier": "1093894198",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KARL K. CHEN, MD, UPIN",
            "identifier": "E21013",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KARL K. CHEN, M.D.,  NPI",
            "identifier": "1538248695",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00K53D",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROAGC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wharton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.