Southside Radiation Oncology

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

0101032577 Issued in VA

Legal business name

SOUTHSIDE RADIATION ONCOLOGY

Practice address

320 Hospital Dr
Memorial Hospital
Martinsville, VA 24112-1900

Phone

(276) 666-7200

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Heather Williams

Title

Billing Specialist

Phone

(336) 378-0076

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1295941516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13624",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274153624",
            "telephone_number": "336-274-4285",
            "fax_number": "336-274-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 HOSPITAL DR",
            "address_2": "MEMORIAL HOSPITAL",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241121900",
            "telephone_number": "276-666-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHSIDE RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "336-378-0076"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "VA",
            "license": "0101032577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "186856",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8936188",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Michelle Soqui, FNP
• Southern Virginia Eye Care, Inc.
• Southern Virginia Rehab Group, PLLC
• Southerncare , Inc.
• Southside Neurosurgical Associates
• Mildred Sparks
• Joie M Spencer, LPN
• Spero Health of Virginia, LLC
• Sprinkle Medical
• Merris A Stambaugh, MD

• All providers in Martinsville, VA
• Radiation Oncology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.