NPIMap

Organization Active NPI

Oncologic Specialists PC

  • Radiation Oncology Physician
  • Mount Clemens, MI
National Provider Identifier
1376553529
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ONCOLOGIC SPECIALISTS PC
Practice address
1080 Harrington St
Mount Clemens, MI 48043-2901
Phone
(586) 493-7510
Fax
(586) 493-7511
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Authorized official

Name
Arthur J Frazier, MDNPI 1609899640
Title
President
Phone
(586) 493-7510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

1080 Harrington St
Mount Clemens, MI 48043-2901

Mailing address

PO Box 72239
Cleveland, OH 44192-0002
Phone (314) 991-8200

Other practice location 1

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 989-3322

Other practice location 2

5680 Bow Pointe Dr
Clarkston, MI 48346-5407
Phone (248) 922-6610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040521000290 MI Part B Supplier - Clinic/Group Practice 1759372386 Receives reassigned benefits from 4 practitioners
Practice locations: Clarkston, MI; Mount Clemens, MI; Pontiac, MI; Port Huron, MI

National Provider Directory

National Provider Directory

Locations

5680 Bow Pointe Dr
Ste 105
Clarkston, MI 48346

1080 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-7500

1080 Harrington St
Ste 100
Mount Clemens, MI 48043

Practitioners & affiliated clinicians

Practitioners 5

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1376553529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72239",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "314-991-8200",
            "fax_number": "314-569-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432901",
            "telephone_number": "586-493-7510",
            "fax_number": "586-493-7511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Pine Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480603511",
            "country_code": "US",
            "telephone_number": "810-989-3322",
            "fax_number": "810-989-3324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5680 Bow Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483465407",
            "country_code": "US",
            "telephone_number": "248-922-6610",
            "fax_number": "248-922-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ONCOLOGIC SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "FRAZIER",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-493-7510",
        "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": []
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.