Organization Active NPI

Michael Kos, MD a Professional Corporation

Doing business as Northern Nevada Radiation Oncology

  • Radiation Oncology Physician
  • Spokane, WA
National Provider Identifier
1568647691
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
9893 Issued in NV
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002016876MedicaidNV

Other names 1

  • Northern Nevada Radiation Oncology Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.