Organization Active NPI

Radiation Oncology Associates of South Texas, L.L.P.

Doing business as Roast

  • Therapeutic Radiology Physician
  • Victoria, TX
National Provider Identifier
1356415004
Registry record updated Feb 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1538248695OtherKARL K. CHEN, M.D., NPI
E21013OtherTXKARL K. CHEN, M.D., UPIN
082420301MedicaidTX
1093894198OtherDAVID L. JANSSEN, M.D., NPI
CS4948OtherTXRAIL ROAD MEDICARE
00F16EOtherTXBLUE CROSS BLUE SHIELD
A13659OtherTXDAVID L. JANSSEN,MD, UPIN

Other names 1

  • ROAST Doing business as

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.