Eastern Radiation Oncology PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

EASTERN RADIATION ONCOLOGY PLLC

Practice address

3500 Arendell St
Morehead City, NC 28557-2901

Phone

(910) 264-9672

NPI assigned

May 14, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kyle E Rusthoven, MDNPI 1316093081

Title

Owner

Phone

(910) 264-9672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 2

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

• Kyle Ehrman Rusthoven, MD

  • Radiation Oncology Physician
  • Morehead City, NC
  • NPI 1316093081
  Medicare reassignment Care Compare group NPD Authorized official
• Chad George Rusthoven, M.D.

  • Radiation Oncology Physician
  • Morehead City, NC
  • NPI 1265758205
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1659759389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1142",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285571142",
            "telephone_number": "910-264-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572901",
            "telephone_number": "910-264-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN RADIATION ONCOLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "RUSTHOVEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-264-9672",
        "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": []
}

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• Radiation Oncology Physician in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Radiation Oncology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.