Organization Active NPI

Roseburg Oncology PC

  • Radiation Oncology Physician
  • Roseburg, OR
National Provider Identifier
1649223868
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ROSEBURG ONCOLOGY PC
Practice address
2880 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1201
Phone
(541) 673-2267
Fax
(541) 672-9483
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Randy Moore, MD
Title
President
Phone
(541) 673-2267

Specialties & licenses 1

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

Addresses

Primary practice location

2880 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1201

Mailing address

PO Box 2428
Roseburg, OR 97470-0509
Phone (541) 673-2267

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1649223868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2428",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974700509",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 NW STEWART PKWY STE 100",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974711201",
            "telephone_number": "541-673-2267",
            "fax_number": "541-672-9483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBURG ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-673-2267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.