Therapeutic Radiology Asso, P.a.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

D0039518 Issued in MD

Legal business name

THERAPEUTIC RADIOLOGY ASSO, P.A.

Practice address

11110 Medical Campus Rd
Suite 129
Hagerstown, MD 21742-6700

Phone

(301) 665-4650

Fax

(301) 665-4648

NPI assigned

Jan 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dan Roger Cornell, M.D.

Title

President

Phone

(301) 665-4650

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Edward Jung, MD

  • Radiation Oncology Physician
  • West Covina, CA
  • NPI 1003011941
  NPD (past)

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1386791200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 129",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-665-4650",
            "fax_number": "301-665-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD",
            "address_2": "SUITE 129",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426700",
            "telephone_number": "301-665-4650",
            "fax_number": "301-665-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC RADIOLOGY ASSO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "CORNELL",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-665-4650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MD",
            "license": "D0039518",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147891500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Western Maryland Counseling Center
• Heather Phoebe Marie Theibert, D.O.
• Claudia Theis, CRNA
• Radu M Theodoru, MD
• Therapeutic Journey Alliance
• Therapeutic Treasures, LLC
• Michael Nelson Thoerig, PSY.D
• Allison E Thomas, MSCCCSLP
• Christopher Walker Thomas, NP-C
• Holly Thomas, CNM

• Radiation Oncology Physician in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Radiation Oncology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.