Collaborative Radiation Oncology PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

PK066426 Issued in MI

Legal business name

COLLABORATIVE RADIATION ONCOLOGY PLLC

Practice address

302 Kensington Ave
Flint, MI 48503-2044

Phone

(810) 762-8226

Fax

(810) 762-8016

NPI assigned

Jun 6, 2016

Organization subpart

No

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

Authorized official

Name

Paul George Kocheril, M.D.NPI 1548298375

Title

Owner

Phone

(810) 762-8058

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

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

• Paul Kocheril, MD

  • Radiation Oncology Physician
  • Flint, MI
  • NPI 1548298375
  Medicare reassignment Care Compare group NPD Authorized official
• Anjali Saripalli

  • Radiation Oncology Physician
  • Flint, MI
  • NPI 1467912477
  Medicare reassignment Care Compare group NPD
• Tushar R Shah, M.D.

  • Radiation Oncology Physician
  • Flint, MI
  • NPI 1568449395
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465171200000",
    "number": "1467801985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8226",
            "fax_number": "810-762-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8226",
            "fax_number": "810-762-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE RADIATION ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-06",
        "status": "A",
        "authorized_official_last_name": "KOCHERIL",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-762-8058",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "PK066426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney John Coleman, CP
• Sirena Coleman
• Sonja Lynn Coleman, LLMSW
• Tia Coles, LLMSW
• Morgan Kandice Coley, RN
• Amy Collings, PH.D.
• Amber Collins
• Najla Collins
• Omar Collins
• Keri Colliton, CRNA

• Radiation Oncology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2016; 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.