Active NPI
Radiation Oncology Group Consultants, PC
- Radiation Oncology Physician
- Medford, OR
National Provider Identifier
1396714515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- RADIATION ONCOLOGY GROUP CONSULTANTS, PC
- Practice address
- 2825 E Barnett Rd
Medford, OR 97504-8332 - Phone
- (541) 772-0023
- NPI assigned
- Mar 17, 2006
- Last updated
- Jun 16, 2009
- 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
- Dr. Jere Sandefur, MD
- Title
- President
- Phone
- (541) 772-0023
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
2825 E Barnett Rd
Medford, OR 97504-8332
Mailing address
PO Box 8509
Medford, OR 97501-5009
Phone (541) 772-0023
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247679 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Gresham, OR
- NPI 1639606379
-
- Radiation Oncology Physician
- Medford, OR
- NPI 1710946959
-
- Radiation Oncology Physician
- Grants Pass, OR
- NPI 1689102261
-
- Radiation Oncology Physician
- Grants Pass, OR
- NPI 1952307522
-
- Radiation Oncology Physician
- Medford, OR
- NPI 1164481321
-
- Radiation Oncology Physician
- Medford, OR
- NPI 1790744928
-
- Radiation Oncology Physician
- Lady Lake, FL
- NPI 1871614909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245110400000",
"number": "1396714515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8509",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975015009",
"telephone_number": "541-772-0023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 E BARNETT RD",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048332",
"telephone_number": "541-772-0023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIATION ONCOLOGY GROUP CONSULTANTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-17",
"last_updated": "2009-06-16",
"status": "A",
"authorized_official_last_name": "SANDEFUR",
"authorized_official_first_name": "JERE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "541-772-0023",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "247679",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.