Active NPI
Fairbanks Radiation Oncology LLC
- Radiation Oncology Physician
- Fairbanks, AK
National Provider Identifier
1356437792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- FAIRBANKS RADIATION ONCOLOGY LLC
- Practice address
- 1650 Cowles Street
Fairbanks, AK 99701 - Phone
- (907) 458-5380
- Fax
- (907) 743-2640
- NPI assigned
- Oct 5, 2006
- 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
- L Rodney Cook, MD
- Title
- General Partner
- Phone
- (907) 261-3186
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
1650 Cowles Street
Fairbanks, AK 99701
Mailing address
PO Box 232069
Anchorage, AK 99523-2069
Phone (907) 458-5380
National Provider Directory
National Provider DirectoryPractitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356437792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232069",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995232069",
"telephone_number": "907-458-5380",
"fax_number": "907-743-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COWLES STREET",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "99701",
"telephone_number": "907-458-5380",
"fax_number": "907-743-2640"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAIRBANKS RADIATION ONCOLOGY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COOK",
"authorized_official_first_name": "L",
"authorized_official_middle_name": "RODNEY",
"authorized_official_title_or_position": "GENERAL PARTNER",
"authorized_official_telephone_number": "907-261-3186",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Fairbanks Resource Agency
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Sources for this page
- 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.