Mercy Therapeutic Radiology Associates LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MERCY THERAPEUTIC RADIOLOGY ASSOCIATES LLC

Doing business as

Mercy Cancer Center Radiation Oncology

Practice address

411 Laurel St
Suite C 100
Des Moines, IA 50314-3017

Phone

(515) 643-5168

NPI assigned

Dec 8, 2006

Last updated

Oct 4, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David H Vellinga

Title

President/Ceo

Phone

(515) 247-4278

Specialties & licenses 1

Addresses

Other names 1

• Mercy Cancer Center Radiation Oncology Doing business as

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip J Colletier, MD

  • Radiation Oncology Physician
  • Des Moines, IA
  • NPI 1760569412
  NPD (past)
• John M Martens, MD

  • Radiation Oncology Physician
  • Des Moines, IA
  • NPI 1699852368
  NPD (past)
• George H Voynov, MD

  • Radiation Oncology Physician
  • Des Moines, IA
  • NPI 1972694362
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1467511857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 816",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503040816",
            "telephone_number": "515-643-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE C 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-643-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY THERAPEUTIC RADIOLOGY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "VELLINGA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "515-247-4278"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Cancer Center Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mercy Clinics, Inc. (MercyOne Richard Deming Cancer Center)
• Mercy Clinics, Inc. (MercyOne Norwalk Family Medicine Clinic)
• Mercy Clinics, Inc. (Mercyone Richard Deming Cancer Center Des Moines Hematology Oncology)
• Mercy Medical Center Des Moines (Willis Adult Center)
• Mercy Pet Scanner LLC
• Mercyone Central Iowa Urgent Care
• Gavin Gehret Meredith, DO
• Rebecca Meredith
• Emily Merfeld, MD
• Meridian Counseling Services, LLC

• Radiation Oncology Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Radiation Oncology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.