Radiation Oncology Center - Zachary

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

RADIATION ONCOLOGY CENTER - ZACHARY

Practice address

6180 Main Street
Ste B
Zachary, LA 70791

Phone

(225) 570-1212

Fax

(225) 570-4860

NPI assigned

Sep 25, 2017

Organization subpart

No

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

Authorized official

Name

Kendall Johnson

Title

Chief Financial Officer

Phone

(225) 763-4791

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Radiation Oncology Center - Zachary, LLC

  • Radiation Oncology Clinic/Center
  • Zachary, LA
  • NPI 1518393875

  O20140222000301

  Same enrollment

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hospital Service District 1 of East Baton Rouge Parish

  • Rehabilitation Hospital
  • Zachary, LA
  • NPI 1467400036

  Member Of

  NPD member

Practitioners 15

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

• Richard Scott Bermudez, M.D.

  • Radiation Oncology Physician
  • Covington, LA
  • NPI 1811129000
  NPD
• Bahman Abraham Daneshfar, M.D.

  • Radiation Oncology Physician
  • Lafayette, LA
  • NPI 1134189566
  NPD
• Michael F Dzeda, M.D.

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1659318129
  NPD
• Andrew Elson, MD

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1649596107
  NPD
• Robert S Fields, M.D.

  • Therapeutic Radiology Physician
  • Baton Rouge, LA
  • NPI 1700984093
  NPD
• Gregory C Henkelmann, MD

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1639264237
  NPD
• Rockne Joseph Hymel III, M.D.

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1912326919
  NPD
• Maurice L King, M.D.

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1194817411
  NPD
• Maurice L. King III, MD

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1629497888
  NPD
• Konstantin Kovtun, M.D.

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1528406832
  NPD
• Divyang Dolat Mehta, M.D.

  • Radiation Oncology Physician
  • Baton Rouge, LA
  • NPI 1285833608
  NPD
• Megan Stabiler Schmitt, PA-C

  • Physician Assistant
  • Baton Rouge, LA
  • NPI 1245751569
  NPD

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506297600000",
    "number": "1306355102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6180 MAIN STREET",
            "address_2": "STE B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-570-1212",
            "fax_number": "225-570-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6180 MAIN STREET",
            "address_2": "STE B",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "70791",
            "telephone_number": "225-570-1212",
            "fax_number": "225-570-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY CENTER - ZACHARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2017-09-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "225-763-4791"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prevalence Health LLC
• Priority Home Care, LLC
• Prodigy Nutritional Consulting, LLC
• Progressive Health Center, Inc.
• Punctilious Transportation LLC.
• Radiation Oncology Center - Zachary, LLC
• Michelle Raetzsch, P.A.C.
• Frank Baxter Ragsdale, CRNA
• Ramp Up, LLC
• Brandi Mullen Rayborn, CCC-SLP

• Radiation Oncology Clinic/Center in Zachary, LA
• Providers in Zachary, LA by specialty
• Radiation Oncology Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; 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.