Active NPI
Michael Kos, MD a Professional Corporation
Doing business as Northern Nevada Radiation Oncology
- Radiation Oncology Physician
- Spokane, WA
National Provider Identifier
1568647691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 9893
- Legal business name
- MICHAEL KOS, MD A PROFESSIONAL CORPORATION
- Doing business as
- Northern Nevada Radiation Oncology
- Practice address
- 6506 S Regal CT
Spokane, WA 99223-2117 - Phone
- (530) 955-5983
- Fax
- (530) 576-0364
- NPI assigned
- Jan 8, 2008
- Last updated
- Apr 22, 2022
- 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
- Nancy S Cattaneo
- Title
- Manager
- Phone
- (530) 955-5983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 9893 | NV | Primary |
Addresses
Primary practice location
6506 S Regal CT
Spokane, WA 99223-2117
Mailing address
6506 S Regal CT
Spokane, WA 99223-2117
Phone (530) 955-5983
Other practice location 1
10745 Double R Blvd Bldg 13
Reno, NV 89521-8979
Phone (775) 850-6505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002016876 | Medicaid | NV |
Other names 1
- Northern Nevada Radiation Oncology
National Provider Directory
National Provider DirectoryLocations
Dept LA 23711
Pasadena, CA 91185
10745 Double R Blvd
Bldg 13
Reno, NV 89521
Phone (775) 560-5776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650585600000",
"number": "1568647691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6506 S REGAL CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992232117",
"telephone_number": "530-955-5983",
"fax_number": "530-576-0364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6506 S REGAL CT",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992232117",
"telephone_number": "530-955-5983",
"fax_number": "530-576-0364"
}
],
"practiceLocations": [
{
"address_1": "10745 Double R Blvd Bldg 13",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895218979",
"country_code": "US",
"telephone_number": "775-850-6505",
"fax_number": "775-850-6504",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MICHAEL KOS, MD A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-08",
"last_updated": "2022-04-22",
"certification_date": "2022-04-22",
"status": "A",
"authorized_official_last_name": "CATTANEO",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "530-955-5983"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NV",
"license": "9893",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016876",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northern Nevada Radiation Oncology",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Northern Nevada Radiation Oncology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.