Great River Oncology, P.C.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

Legal business name

GREAT RIVER ONCOLOGY, P.C.

Practice address

1225 S Gear Ave
Suite 152
West Burlington, IA 52655-1691

Phone

(319) 753-1220

Fax

(319) 753-5464

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rohini Reganti, MDNPI 1528053840

Title

Owner

Phone

(319) 753-1220

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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

• Rohini Reganti, MD

  • Medical Oncology Physician
  • West Burlington, IA
  • NPI 1528053840
  NPD (past) Authorized official
• Maroun E El-Khoury, MD

  • Hematology & Oncology Physician
  • West Burlington, IA
  • NPI 1255357943
  NPD (past)
• Reddy S Reganti, MD

  • Radiation Oncology Physician
  • West Burlington, IA
  • NPI 1952396277
  NPD (past)

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649297326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526550633",
            "telephone_number": "319-753-1220",
            "fax_number": "319-753-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 S GEAR AVE",
            "address_2": "SUITE 152",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551691",
            "telephone_number": "319-753-1220",
            "fax_number": "319-753-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT RIVER ONCOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REGANTI",
        "authorized_official_first_name": "ROHINI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-753-1220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274860",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP PROVIDER NUMBE",
            "identifier": "08894",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shan Gao, M.D.
• Koushik Ghosh
• Angela Rae Gibbar, CRNA
• Scott M Gleason, D.O., MSC.
• Great River Medical Services
• Great River Orthopaedic Surgery & Sports Medicine PC
• Great River Women'S Health
• Anne Catharine Grieves, DO
• Mark Grieves, CRNA, DNAP
• Kenzie Renee Griffin

• Hematology & Oncology Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• Hematology & Oncology Physician in Iowa

• 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.