Organization Active NPI

Mountain Radiation Oncology

  • Radiation Oncology Physician
  • Wheat Ridge, CO
National Provider Identifier
1679589477
Registry record updated Apr 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
MOUNTAIN RADIATION ONCOLOGY
Practice address
8300 W 38TH Ave
Department of Radiation Oncology
Wheat Ridge, CO 80033-6005
Phone
(303) 332-6346
Fax
(303) 425-2810
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2015

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

Authorized official

Name
Dr. Kevin L. Schewe, MD
Title
Owner
Phone
(303) 332-6346

Specialties & licenses 1

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

Addresses

Primary practice location

8300 W 38TH Ave
Department of Radiation Oncology
Wheat Ridge, CO 80033-6005

Mailing address

4704 Harlan Street
Suite 511
Denver, CO 80212-7427
Phone (720) 382-1008

Other identifiers 1

IdentifierTypeStateIssuer
60550830MedicaidCO

National Provider Directory

National Provider Directory

Locations

799 W Hampden Ave Ste 100
Englewood, CO 80113

Practitioners & affiliated clinicians

Practitioners 4

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": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1679589477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 HARLAN STREET",
            "address_2": "SUITE 511",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127427",
            "telephone_number": "720-382-1008",
            "fax_number": "720-382-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 W 38TH AVE",
            "address_2": "DEPARTMENT OF RADIATION ONCOLOGY",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336005",
            "telephone_number": "303-332-6346",
            "fax_number": "303-425-2810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "SCHEWE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-332-6346",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "60550830",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.