Mitra Oncology Associates, P.C.

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

MD21026 Issued in OR

Legal business name

MITRA ONCOLOGY ASSOCIATES, P.C.

Practice address

727 S Wahanna Rd
Seaside, OR 97138-7735

Phone

(503) 717-7650

Fax

(503) 717-7624

NPI assigned

Mar 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ravindra Ramdas Patil, M.D., PH.D.NPI 1386647923

Title

President

Phone

(503) 521-8267

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Ravindra R Patil, M.D., PHD

  • Medical Oncology Physician
  • Seaside, OR
  • NPI 1386647923
  NPD (past) Authorized official

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598897027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16130 SW BRAY LN",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972241090",
            "telephone_number": "503-521-8267",
            "fax_number": "503-521-8267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S WAHANNA RD",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971387735",
            "telephone_number": "503-717-7650",
            "fax_number": "503-717-7624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITRA ONCOLOGY ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATIL",
        "authorized_official_first_name": "RAVINDRA",
        "authorized_official_middle_name": "RAMDAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-521-8267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "OR",
            "license": "MD21026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027753",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mel Langston Professional Services, Inc.
• Jane Mary Merrill, LPC
• Micki A Metoyer, CPM, LDEM
• Dean R Miller, L.M.T
• Megan Mills, RN
• Lindsey S Mizell Wallace, MS, CCC-SLP
• Kaitlin Rose Mullins, CADC-R, QMHA-I
• Allison Myers, CADC1, QMHA-R
• Asheley Nagle, LMT
• Neawanna by the Sea

• Medical Oncology Physician in Seaside, OR
• Providers in Seaside, OR by specialty
• Medical Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.