Valley Radiation PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

VALLEY RADIATION PLLC

Practice address

504 6TH St
Lewiston, ID 83501-2439

Phone

(208) 799-5600

Fax

(530) 799-5755

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Robert Kenneth Fairbanks, MDNPI 1821084781

Title

Sole Member

Phone

(509) 993-7197

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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

• Robert Kenneth Fairbanks, M.D.

  • Radiation Oncology Physician
  • Lewiston, ID
  • NPI 1821084781

  ID, Radiation Oncology

  Medicare reassignment Care Compare group NPD Authorized official
• Michael F Kos, MD

  • Radiation Oncology Physician
  • Spokane Valley, WA
  • NPI 1366599631

  ID

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1326878554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 239",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835010239",
            "telephone_number": "208-799-5600",
            "fax_number": "208-799-5755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 6TH ST",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835012439",
            "telephone_number": "208-799-5600",
            "fax_number": "530-799-5755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 6th St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ID",
            "postal_code": "835012431",
            "country_code": "US",
            "telephone_number": "208-799-5755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY RADIATION PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "509-993-7197",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean T Urquhart, MD
• Valley Anesthesia, P.a.
• Valley Anesthesia, P.a.
• Valley Facial Plastics & ENT, PA
• Valley Medical Center, PLLC
• Valley Treatment Specialties LLC
• Josephine Van Kampen-Lewis, LCSW
• Vannvei LLC
• Lawrence Joseph Vanty Jr., PA
• Vault Physical Therapy LLC

• All providers in Lewiston, ID
• Radiation Oncology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.