Summit Oncology LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SUMMIT ONCOLOGY LLC

Practice address

720 W Central Ave
El Dorado, KS 67042-2112

Phone

(316) 321-8780

Fax

(316) 321-8723

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Lyle M Harrison, MDNPI 1750453361

Title

MD/Owner

Phone

(316) 321-8780

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Practitioners 2

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

• Lyle Harrison, M.D.

  • Radiation Oncology Physician
  • El Dorado, KS
  • NPI 1750453361
  Medicare reassignment Authorized official
• Elizabeth Ann Warman, PA-C

  • Medical Physician Assistant
  • Augusta, KS
  • NPI 1134391626
  Medicare reassignment

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615766400000",
    "number": "1679164362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422112",
            "telephone_number": "316-321-8780",
            "fax_number": "316-321-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 W CENTRAL AVE",
            "city": "EL DORADO",
            "state": "KS",
            "postal_code": "670422112",
            "telephone_number": "316-321-8780",
            "fax_number": "316-321-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LYLE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "316-321-8780",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201205230A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RADIATION ONCOLOGY",
            "identifier": "EA5581",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark L. Stoskopf, D.D.S.
• Ashley Elizabeth Stout, LMSW
• Brooke Strathe
• Breanna Mary Strohm, COTA/L
• Craig Stuewe
• Sunflower Care Homes of El Dorado LLC
• Sunlight Children'S Services
• Susan B Allen Memorial Hospital
• Susan B. Allen Memorial Hospital
• Susan B. Allen Memorial Hospital

• Radiation Oncology Physician in El Dorado, KS
• Providers in El Dorado, KS by specialty
• Radiation Oncology Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.