Philip O Doescher, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

23023 Issued in WI

Practice address

7401 Metro Blvd Ste 210
Edina, MN 55439-3086

Phone

(952) 920-4915

Fax

(950) 915-6098

NPI assigned

Jun 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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.

• Mid-Minnesota Radiation Oncology, PA

  • Radiation Oncology Physician
  • Edina, MN
  • NPI 1215921408
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1447255641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393086",
            "telephone_number": "952-920-4915",
            "fax_number": "950-915-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7401 METRO BLVD STE 210",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554393086",
            "telephone_number": "952-920-4915",
            "fax_number": "950-915-6098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "La Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "fax_number": "608-775-4467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOESCHER",
        "first_name": "PHILIP",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MN",
            "license": "24275",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "23023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30326300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bradley M Doeden, MD
• Shannon Marie Doerge Nascene, DDS
• Riley Doering
• Suzanne Elizabeth Doerr, RPH
• Tara Lynn Doerr, NP
• Mary Folake Dogubo, CRNA
• Dokmak Psychiatry PLLC
• Doldot Care LLC
• Amy Dols, MA, LADC, LPCC
• Heather Leigh Dona, DC

• Radiation Oncology Physician in Edina, MN
• Providers in Edina, MN by specialty
• Radiation Oncology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.