Theodore J Williamson, M.D.

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD11504 Issued in OR

Practice address

2700 SE Stratus Ave
Suite a
McMinnville, OR 97128-6255

Phone

(503) 435-6590

Fax

(503) 435-6591

NPI assigned

Jul 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Radiation Therapy Consultants, PC

  • Radiation Oncology Physician
  • Salem, OR
  • NPI 1427139120
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1437163532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 391",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973080391",
            "telephone_number": "503-561-5135",
            "fax_number": "503-561-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 SE STRATUS AVE",
            "address_2": "SUITE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971286255",
            "telephone_number": "503-435-6590",
            "fax_number": "503-435-6591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "THEODORE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD11504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236695",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Willamette Valley Orthopaedic Surgery
• Kaitlyn Willcuts
• Claudia L Williams-Mara, LPC
• John Bruce Williams, MD
• Waverly Tyrese Williams
• Carmen Dolores Wilson
• Jason Edward Wilson
• Roxanne Franklin Wilson, BA, QMHA, PSS
• Kayla Renae Winkler, MOT
• J'Deanna Winn, MA

• Radiation Oncology Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Radiation Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.