Pikes Peak Radiation Oncology P.C.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

PIKES PEAK RADIATION ONCOLOGY P.C.

Practice address

1425 N Union Blvd
Suite 202
Colorado Springs, CO 80909-2871

Phone

(719) 570-7675

Fax

(719) 471-9314

NPI assigned

Jan 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark B Hazuka, M.D.NPI 1750361259

Title

President

Phone

(719) 570-7675

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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.

• Mark B Hazuka, M.D.

  • Radiation Oncology Physician
  • Colorado Springs, CO
  • NPI 1750361259
  NPD (past) Authorized official
• John E Schiller, M.D.

  • Radiation Oncology Physician
  • Colorado Springs, CO
  • NPI 1083694137
  NPD (past)
• Anuj V Peddada, M.D.

  • Radiation Oncology Physician
  • Tulsa, OK
  • NPI 1508846668
  NPD (past)
• Stephen Hasler Thatcher, M.D.

  • Radiation Oncology Physician
  • Spokane, WA
  • NPI 1851628077
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306826482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N UNION BLVD",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092871",
            "telephone_number": "719-570-7675",
            "fax_number": "719-471-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N UNION BLVD",
            "address_2": "SUITE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809092871",
            "telephone_number": "719-570-7675",
            "fax_number": "719-471-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKES PEAK RADIATION ONCOLOGY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZUKA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-570-7675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04017968",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "40421",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pikes Peak Pathways, Pikes Peak Boces
• Pikes Peak Peer Support LLC
• Pikes Peak Physical Medicine, P.C.
• Pikes Peak Professional Counselors, LLC
• Pikes Peak Psychotherapy, Inc.
• Pikes Peak Reflux and Weight Loss Surgery PLLC
• Pikes Peak Seniorcare, Inc.
• Pikes Peak SNF Healthcare, LLC (Pikes Peak Post Acute)
• Pikes Peak Spine & Joint LLC
• Pikes Peak Stuttering Center

• Radiation Oncology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Radiation Oncology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.