Organization Active NPI

Associates in Radiation Oncology, PC

  • Radiation Oncology Physician
  • Dearborn, MI
National Provider Identifier
1508051533
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ASSOCIATES IN RADIATION ONCOLOGY, PC
Practice address
18101 Oakwood Blvd
Radiation Oncology Department
Dearborn, MI 48124-4089
Phone
(313) 593-5852
Fax
(313) 436-2820
NPI assigned
Sep 12, 2007
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. Omar Mauricio Salazar, MD
Title
President
Phone
(313) 593-5852

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

18101 Oakwood Blvd
Radiation Oncology Department
Dearborn, MI 48124-4089

Mailing address

1997 Meadow CT
Bloomfield Hills, MI 48302-1242
Phone (313) 436-2208

Other identifiers 2

IdentifierTypeStateIssuer
0H21715OtherMIBLUE CARE NETWORK
CG4874OtherMIMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

15777 Northline Rd
Ste 104
Southgate, MI 48195
Phone (734) 246-8100

24755 Haig St
Taylor, MI 48180
Phone (313) 295-5000

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1508051533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1997 MEADOW CT",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483021242",
            "telephone_number": "313-436-2208",
            "fax_number": "313-436-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18101 OAKWOOD BLVD",
            "address_2": "RADIATION ONCOLOGY DEPARTMENT",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481244089",
            "telephone_number": "313-593-5852",
            "fax_number": "313-436-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN RADIATION ONCOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "MAURICIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-593-5852",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0H21715",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CG4874",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.