NPIMap

Organization Active NPI

Johnston Radiation Oncology LLC

Doing business as UNC Radiation Oncology at Clayton

  • Radiation Oncology Physician
  • Clayton, NC
National Provider Identifier
1578885406
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
JOHNSTON RADIATION ONCOLOGY LLC
Doing business as
UNC Radiation Oncology at Clayton
Practice address
2076 Hwy 42 W
Suite 120
Clayton, NC 27520-5303
Phone
(919) 585-8550
NPI assigned
Feb 19, 2010
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
JRH VENTURES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Kevin Cielinski
Title
Cfo
Phone
(919) 938-6629

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X NU
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

2076 Hwy 42 W
Suite 120
Clayton, NC 27520-5303

Mailing address

2076 Hwy 42 W
Suite 120
Clayton, NC 27520-5303
Phone (919) 585-8550

Other identifiers 1

IdentifierTypeStateIssuer
5914186MedicaidNC

Other names 1

  • UNC Radiation Oncology at Clayton Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100623000219 NC Part B Supplier - Clinic/Group Practice 7012048838 Receives reassigned benefits from 33 practitioners
Practice locations: Clayton, NC

National Provider Directory

National Provider Directory

Locations

2076 Veterans Pkwy
Ste 120
Clayton, NC 27520
Phone (919) 585-8550

Practitioners & affiliated clinicians

Practitioners 37

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.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1578885406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2076 HWY 42 W",
            "address_2": "SUITE 120",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205303",
            "telephone_number": "919-585-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2076 HWY 42 W",
            "address_2": "SUITE 120",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "275205303",
            "telephone_number": "919-585-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSTON RADIATION ONCOLOGY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JRH VENTURES, LLC",
        "enumeration_date": "2010-02-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "CIELINSKI",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-938-6629"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5914186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNC Radiation Oncology at Clayton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNC Radiation Oncology at Clayton",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clayton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.