Active NPI
Angela H Wortham, MD
- Radiation Oncology Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 48842
- Practice address
- 6019 Walnut Grove Road
Memphis, TN 38120 - Phone
- (901) 226-0340
- Fax
- (901) 226-0349
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 22241 | MS | |
| Radiation Oncology Physician | 2085R0001X | 48842 | TN | Primary |
Addresses
Primary practice location
6019 Walnut Grove Road
Memphis, TN 38120
Mailing address
965 Ridge Lake Blvd
Suite 103
Memphis, TN 38120-9446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Louisiana State University School of Medicine in New Orleans, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000
Hospital & facility affiliations
- Ochsner Medical Center Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22241 | MS | MD | Radiation Oncology Physician |
| 48842 | TN | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| E Plus Oncologics Louisiana LLC | Radiation Oncology | Past | Accepting new patients |
| Oncologics, Inc. | Radiation Oncology | Past | Accepting new patients |
Locations
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
17050 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-5117
900 Ochsner Blvd
Covington, LA 70433
Phone (985) 249-2383
2820 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-4960
1514 Jefferson Hwy
New Orleans, LA 70121
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
Interoperability endpoints
- awortham936940@direct.ochsner.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Radiation Oncology Physician
- Lafayette, LA
- NPI 1427323187
-
- Radiation Oncology Physician
- Lafayette, LA
- NPI 1144256736
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1811973100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1498435200000",
"number": "1396941449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD",
"address_2": "SUITE 103",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6019 WALNUT GROVE ROAD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38120",
"telephone_number": "901-226-0340",
"fax_number": "901-226-0349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTHAM",
"first_name": "ANGELA",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2017-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "MS",
"license": "22241",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TN",
"license": "48842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.