Lawrence Radiation Oncology LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

0431633 Issued in KS

Legal business name

LAWRENCE RADIATION ONCOLOGY LLC

Practice address

330 Arkansas
Suite 120
Lawrence, KS 66044-1485

Phone

(785) 749-3600

Fax

(785) 749-3621

NPI assigned

Mar 10, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Darren Klish, MDNPI 1922164524

Title

Business Owner/ MD

Phone

(785) 749-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Precision Cancer Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Darren Klish, M.D.

  • Radiation Oncology Physician
  • Chanute, KS
  • NPI 1922164524
  Medicare reassignment Care Compare group Authorized official
• Benjamin G Slane, MD

  • Radiation Oncology Physician
  • Lawrence, KS
  • NPI 1376705871
  Medicare reassignment Care Compare group NPD
• Miriam Colleen Slaugh, APRN

  • Family Nurse Practitioner
  • Lawrence, KS
  • NPI 1003110446
  Medicare reassignment NPD
• Harold Albert Johnson, MD

  • Radiation Oncology Physician
  • Columbia, MO
  • NPI 1154327096
  NPD (past)

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1629248372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS",
            "address_2": "SUITE 120",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441335",
            "telephone_number": "785-749-3600",
            "fax_number": "785-749-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 ARKANSAS",
            "address_2": "SUITE 120",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441485",
            "telephone_number": "785-749-3600",
            "fax_number": "785-749-3621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE RADIATION ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-10",
        "last_updated": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "KLISH",
        "authorized_official_first_name": "DARREN",
        "authorized_official_title_or_position": "BUSINESS OWNER/ MD",
        "authorized_official_telephone_number": "785-749-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KS",
            "license": "0431633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200656390A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Cancer Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Specialist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.