Active NPI
Ozark Radiation Oncology
- Radiation Oncology Physician
- Fayetteville, AR
National Provider Identifier
1477533347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- OZARK RADIATION ONCOLOGY
- Practice address
- 60 E Monte Painter Dr
Fayetteville, AR 72703 - Phone
- (479) 361-2585
- Fax
- (479) 361-6201
- NPI assigned
- Jan 18, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela J Whiteley, CPA
- Title
- Business Manager
- Phone
- (479) 751-0602
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
60 E Monte Painter Dr
Fayetteville, AR 72703
Mailing address
PO Box 8428
Fayetteville, AR 72703-0008
Phone (479) 751-0602
Other names 1
- Northwest Arkansas Radiation Oncology Associates
National Provider Directory
National Provider DirectoryLocations
60 E Monte Painter Dr
Fayetteville, AR 72703
Phone (479) 348-7170
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Little Rock, AR
- NPI 1508839572
-
- Radiation Oncology Physician
- Fayetteville, AR
- NPI 1790758761
-
- Radiation Oncology Physician
- Fayetteville, AR
- NPI 1346213311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1477533347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8428",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727030008",
"telephone_number": "479-751-0602",
"fax_number": "479-361-6201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 E MONTE PAINTER DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72703",
"telephone_number": "479-361-2585",
"fax_number": "479-361-6201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OZARK RADIATION ONCOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WHITELEY",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "479-751-0602",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Arkansas Radiation Oncology Associates",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.