Organization Active NPI

Williamsburg Radiation Oncology PC

  • Radiation Oncology Physician
  • Lincoln, NE
National Provider Identifier
1629184015
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
19624 Issued in NE
Legal business name
WILLIAMSBURG RADIATION ONCOLOGY PC
Practice address
6101 Village Dr
Suite 100
Lincoln, NE 68516-5830
Phone
(402) 421-7158
Fax
(402) 421-7449
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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

Authorized official

Name
Raju Rao, MD
Title
Owner
Phone
(402) 421-7158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 19624 NE Primary

Addresses

Primary practice location

6101 Village Dr
Suite 100
Lincoln, NE 68516-5830

Mailing address

6101 Village Dr
Suite 100
Lincoln, NE 68516-5830
Phone (402) 421-7158

National Provider Directory

National Provider Directory

Locations

6101 Village Dr
Ste 100
Lincoln, NE 68516
Phone (402) 420-2626

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1629184015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 VILLAGE DR",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165830",
            "telephone_number": "402-421-7158",
            "fax_number": "402-421-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 VILLAGE DR",
            "address_2": "SUITE 100",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685165830",
            "telephone_number": "402-421-7158",
            "fax_number": "402-421-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG RADIATION ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "RAJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-421-7158",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NE",
            "license": "19624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.