NPIMap

Organization Active NPI

Aiken Radiation Oncology, P.a.

  • Radiation Oncology Physician
  • Aiken, SC
National Provider Identifier
1457596140
Registry record updated Dec 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
AIKEN RADIATION ONCOLOGY, P.A.
Practice address
111 Miracle Dr
Aiken, SC 29801-6351
Phone
(803) 641-7850
Fax
(803) 641-7858
NPI assigned
Dec 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2008

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

Authorized official

Name
Dr. Mark P Ezekial, MD
Title
Owner
Phone
(803) 641-7850

Specialties & licenses 1

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

Addresses

Primary practice location

111 Miracle Dr
Aiken, SC 29801-6351

Mailing address

298 Commerce Dr
Newberry, SC 29108-2953
Phone (803) 321-3232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1457596140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "298 COMMERCE DR",
            "city": "NEWBERRY",
            "state": "SC",
            "postal_code": "291082953",
            "telephone_number": "803-321-3232",
            "fax_number": "803-321-3234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MIRACLE DR",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016351",
            "telephone_number": "803-641-7850",
            "fax_number": "803-641-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIKEN RADIATION ONCOLOGY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "EZEKIAL",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-641-7850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.