Northwest Radiation Oncology Associates, SC

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

License

29032 Issued in WI

Legal business name

NORTHWEST RADIATION ONCOLOGY ASSOCIATES, SC

Practice address

900 W Clairemont Ave
Eau Claire, WI 54701-6122

Phone

(715) 874-6575

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rose M Doll

Title

Business Manager

Phone

(715) 874-6575

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316007446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547021125",
            "telephone_number": "715-874-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W CLAIREMONT AVE",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016122",
            "telephone_number": "715-874-6575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST RADIATION ONCOLOGY ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOLL",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "715-874-6575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "WI",
            "license": "29032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32797700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Therapeutic Radiology Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Therapeutic Radiology Physician in Wisconsin

• 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.