NPIMap

Organization Active NPI

Valley Radiation Oncology

  • Radiation Oncology Physician
  • Palmer, AK
National Provider Identifier
1447570874
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
VALLEY RADIATION ONCOLOGY
Practice address
2490 S Woodworth Loop
Suite 150
Palmer, AK 99645-7405
Phone
(907) 745-2900
Fax
(907) 745-2999
NPI assigned
Jun 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Authorized official

Name
Ashlyn Krause
Title
Practice Manager
Phone
(907) 276-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

2490 S Woodworth Loop
Suite 150
Palmer, AK 99645-7405

Mailing address

PO Box 35146 LB # 196721
Seattle, WA 98124
Phone (907) 276-2400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101013000566 AK Part B Supplier - Clinic/Group Practice 5395937064 Receives reassigned benefits from 6 practitioners
Practice locations: Palmer, AK

National Provider Directory

National Provider Directory

Locations

2490 S Woodworth Loop
Ste 150
Palmer, AK 99645
Phone (907) 276-2400

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660176000000",
    "number": "1447570874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35146 LB # 196721",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98124",
            "telephone_number": "907-276-2400",
            "fax_number": "907-276-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2490 S WOODWORTH LOOP",
            "address_2": "SUITE 150",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457405",
            "telephone_number": "907-745-2900",
            "fax_number": "907-745-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "ASHLYN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "907-276-2400"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.