Valley Radiotherapy Associates Medical Group Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

VALLEY RADIOTHERAPY ASSOCIATES MEDICAL GROUP INC

Practice address

799 E. Hampden Avenue
Englewood, CO 80113-2700

Phone

(303) 788-5860

Fax

(303) 788-7325

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Eliott Botnick, M.D.

Title

Ceo

Phone

(310) 335-4056

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1528233905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 HARLAN STREET",
            "address_2": "SUITE 511",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127427",
            "telephone_number": "720-382-1008",
            "fax_number": "720-382-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 E. HAMPDEN AVENUE",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801132700",
            "telephone_number": "303-788-5860",
            "fax_number": "303-788-7325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RADIOTHERAPY ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "BOTNICK",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ELIOTT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-335-4056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ9454",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF CO",
            "identifier": "652073",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92775721",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08307229",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Urology Associates PC
• Uromed, Inc.
• Kristen Kemp Valentin, DPT
• Valerie J Shinbaum Ms LPC
• Kornelija Valiuskyte, CNIM
• Santhosh A Valloppillil, M.D.
• Paul G Van Der Sloot, MD
• Rebecca Van Vliet, APN
• Tara Rae Vancleave
• Gary Duane Vanderark, MD

• Radiation Oncology Physician in Englewood, CO
• Providers in Englewood, CO by specialty
• Radiation Oncology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.