Active NPI
Radiation Oncology Associates of South Texas, L.L.P.
Doing business as Roast
- Therapeutic Radiology Physician
- Victoria, TX
National Provider Identifier
1356415004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Therapeutic Radiology Physician
- Legal business name
- RADIATION ONCOLOGY ASSOCIATES OF SOUTH TEXAS, L.L.P.
- Doing business as
- Roast
- Practice address
- 2807 N Ben Wilson St
Suite 201
Victoria, TX 77901-5730 - Phone
- (361) 576-9812
- Fax
- (361) 574-1580
- NPI assigned
- Nov 17, 2006
- Last updated
- Feb 11, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Grace Ling Chen, R.N., PH.D.
- Title
- Office Administrator
- Phone
- (361) 576-9812
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | NU | Primary |
Addresses
Primary practice location
2807 N Ben Wilson St
Suite 201
Victoria, TX 77901-5730
Mailing address
1502 E Red River St
#347
Victoria, TX 77901-5523
Phone (361) 576-9812
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538248695 | Other | KARL K. CHEN, M.D., NPI | |
| E21013 | Other | TX | KARL K. CHEN, M.D., UPIN |
| 082420301 | Medicaid | TX | |
| 1093894198 | Other | DAVID L. JANSSEN, M.D., NPI | |
| CS4948 | Other | TX | RAIL ROAD MEDICARE |
| 00F16E | Other | TX | BLUE CROSS BLUE SHIELD |
| A13659 | Other | TX | DAVID L. JANSSEN,MD, UPIN |
Other names 1
- ROAST
National Provider Directory
National Provider DirectoryLocations
1502 E Red River St
#347
Victoria, TX 77901
1502 E Red River St
Ste 347
Victoria, TX 77901
Phone (512) 576-9812
2710 Hospital Dr
Ste 206
Victoria, TX 77901
Phone (361) 574-1899
2807 N Ben Wilson St
#201
Victoria, TX 77901
Phone (361) 576-9812
2807 N Ben Wilson St
Ste 201
Victoria, TX 77901
Phone (361) 576-9812
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265846400000",
"number": "1356415004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 E RED RIVER ST",
"address_2": "#347",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015523",
"telephone_number": "361-576-9812",
"fax_number": "361-574-1580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2807 N BEN WILSON ST",
"address_2": "SUITE 201",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779015730",
"telephone_number": "361-576-9812",
"fax_number": "361-574-1580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIATION ONCOLOGY ASSOCIATES OF SOUTH TEXAS, L.L.P.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2010-02-11",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "GRACE",
"authorized_official_middle_name": "LING",
"authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
"authorized_official_telephone_number": "361-576-9812",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "R.N., PH.D."
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KARL K. CHEN, M.D., NPI",
"identifier": "1538248695",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KARL K. CHEN, M.D., UPIN",
"identifier": "E21013",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "082420301",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVID L. JANSSEN, M.D., NPI",
"identifier": "1093894198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "CS4948",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00F16E",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVID L. JANSSEN,MD, UPIN",
"identifier": "A13659",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ROAST",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Victoria, TX
- Richard Charles Quigley, D.O.
- Lisa Quintanilla, LPC ASSOCIATE, LCDC
- Julio Cesar Quiroz Olvera, MD
- Irfan Rashid Qureshi, M.D.
- Charles Eugene Rader, D.D.S.
- Ganesh Venkataraman Raj, MD PHD
- Natalie Carol Ramirez, APRN, FNP-BC
- Betina Audra Ramos, MS CCC-SLP
- Diana Ramos, LVN
- Engilberto Javier Ramos III, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.