Jmac Radiation Oncology and Diagnostics LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

JMAC RADIATION ONCOLOGY AND DIAGNOSTICS LLC

Doing business as

Central Kansas Cancer Center

Practice address

1133 College Ave
BLDG. E, Suite 140
Manhattan, KS 66502-2770

Phone

(785) 539-2500

NPI assigned

Sep 28, 2015

Organization subpart

No

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

Authorized official

Name

Jeffrey C MathisNPI 1861504755

Title

Owner

Phone

(785) 539-9669

Specialties & licenses 1

Addresses

Other names 1

• Central Kansas Cancer Center Doing business as

Locations

Practitioners 2

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

• Jeffrey C Mathis, OTD/L,CHT

  • Occupational Therapist
  • Manhattan, KS
  • NPI 1861504755
  NPD (past) Authorized official
• Brenda Avery, PA

  • Medical Physician Assistant
  • Manhattan, KS
  • NPI 1619953809
  NPD (past)

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1346610896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 SETH CHILD RD",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665038707",
            "telephone_number": "785-539-0445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE",
            "address_2": "BLDG. E, SUITE 140",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022770",
            "telephone_number": "785-539-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JMAC RADIATION ONCOLOGY AND DIAGNOSTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "785-539-9669"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Kansas Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brooke Danielle January
• Anna M Jaros, MOT OTR/L
• Jessica Manny-Flynn, LLC
• Jforbes Counseling LLC
• Jhsmiles LLC
• JMB Therapy
• Erin Nicole Johannes, LD
• John M Wertin D C P a
• Delaney Johns
• Adam Johnson, LSCSW, LMAC

• Radiation Oncology Physician in Manhattan, KS
• Providers in Manhattan, KS by specialty
• Radiation Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.