Regional Medical Oncology Center PA

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

200300489 Issued in NC

Legal business name

REGIONAL MEDICAL ONCOLOGY CENTER PA

Practice address

2624 Ortho Drive
Wilson, NC 27893-3484

Phone

(252) 991-5261

Fax

(252) 991-5262

NPI assigned

May 31, 2012

Organization subpart

No

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

Authorized official

Name

Keith Lerro, MDNPI 1730161092

Title

Owner

Phone

(252) 991-5261

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 8

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

• Keith Lerro, M.D.

  • Hematology & Oncology Physician
  • Wilson, NC
  • NPI 1730161092
  Medicare reassignment Care Compare group Authorized official
• Andre Dixon

  • Medical Oncology Physician
  • Wilson, NC
  • NPI 1649634486
  Medicare reassignment Care Compare group NPD
• Christine Rodriguez, APRN

  • Nurse Practitioner
  • Wilson, NC
  • NPI 1487492617
  Medicare reassignment Care Compare group NPD
• Justin P Favaro, MD

  • Hematology & Oncology Physician
  • Charlotte, NC
  • NPI 1053365320
  Medicare reassignment NPD
• Kaitlyn Rose Long

  • Physician Assistant
  • Wilson, NC
  • NPI 1750015723
  Medicare reassignment NPD
• Leighanna Grace Martin, FNP-C

  • Family Nurse Practitioner
  • Wilson, NC
  • NPI 1235598434
  Medicare reassignment NPD
• Kathy D Pearson, PA

  • Physician Assistant
  • Wilson, NC
  • NPI 1790781631
  Medicare reassignment
• Carolina McCalmon, PA-C

  • Physician Assistant
  • Port Jefferson Station, NY
  • NPI 1619374824
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1407117948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DRIVE",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933484",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2624 ORTHO DRIVE",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278933484",
            "telephone_number": "252-991-5261",
            "fax_number": "252-991-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL MEDICAL ONCOLOGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "LERRO",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-991-5261",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NC",
            "license": "200300489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Reddick
• Redesigning Life
• Redesigning Life of N.C.,LL
• Reebye Park & Richman DDS PLC
• Regional Medical Oncology Center
• Regrowth Counseling PLLC
• Rehab Remedies of Eastern North Carolina
• Donna Farler Reichard, MS,CCC-SLP
• Iris Reid
• Reids Health Care

• Hematology & Oncology Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Hematology & Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2015; 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.