NPIMap

Organization Active NPI

Rocky Mountain Cancer Centers, LLP

  • Radiation Oncology Physician
  • Pueblo, CO
National Provider Identifier
1659974897
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ROCKY MOUNTAIN CANCER CENTERS, LLP
Practice address
3676 Parker Blvd Ste 350
Pueblo, CO 81008-2213
Phone
(719) 296-6000
Fax
(719) 545-1146
NPI assigned
Nov 19, 2020
Organization subpart
Yes
Parent organization
ROCKY MOUNTAIN CANCER CENTERS, LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Froya Jesse
Title
Senior Credentialing Coordinator
Phone
(303) 930-7895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

3676 Parker Blvd Ste 350
Pueblo, CO 81008-2213

Mailing address

7951 E Maplewood Ave Ste 300
Greenwood Village, CO 80111-4726
Phone (303) 930-7895

National Provider Directory

National Provider Directory
Tax ID family
Rocky MTN Cancer CNTR L40 organizations share this tax ID, including this one
Part of
Rocky MTN Cancer CNTR L

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

3676 Parker Blvd
Ste 350
Pueblo, CO 81008
Phone (719) 296-6000

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1659974897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114726",
            "telephone_number": "303-930-7895",
            "fax_number": "303-267-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 PARKER BLVD STE 350",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082213",
            "telephone_number": "719-296-6000",
            "fax_number": "719-545-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN CANCER CENTERS, LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKY MOUNTAIN CANCER CENTERS, LLP",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "JESSE",
        "authorized_official_first_name": "FROYA",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "303-930-7895"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.