NPIMap

Organization Active NPI

Bethesda Resources Inc

  • Radiation Oncology Physician
  • Greenville, MS
National Provider Identifier
1689704173
Registry record updated Oct 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
17137 Issued in MS
Legal business name
BETHESDA RESOURCES INC
Practice address
1514 E Union St
Greenville, MS 38703-3248
Phone
(662) 332-6150
Fax
(662) 332-4558
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2008

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

Authorized official

Name
Craig M Weeks
Title
VP Finance
Phone
(256) 383-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 17137 MS Primary

Addresses

Primary practice location

1514 E Union St
Greenville, MS 38703-3248

Mailing address

505 W Louise Ave
Muscle Shoals, AL 35661-1517
Phone (256) 383-3325

Other identifiers 1

IdentifierTypeStateIssuer
09015886MedicaidMS

Other names 1

  • Bethesda Cancer Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bethesda Resources Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1689704173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W LOUISE AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356611517",
            "telephone_number": "256-383-3325",
            "fax_number": "256-383-5911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 E UNION ST",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387033248",
            "telephone_number": "662-332-6150",
            "fax_number": "662-332-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHESDA RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "256-383-3325"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "MS",
            "license": "17137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015886",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bethesda Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.