NPIMap

Organization Active NPI

Radiation Oncology Centers of the Carolinas, Inc.

Doing business as Matthews Radiation Oncology Center

  • Radiation Oncology Physician
  • Matthews, NC
National Provider Identifier
1710924162
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.
Doing business as
Matthews Radiation Oncology Center
Practice address
1400 Matthews Township Pkwy
Matthews, NC 28105-4655
Phone
(704) 845-8800
Fax
(704) 845-8809
NPI assigned
Jun 1, 2006
Last updated
Jan 26, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Authorized official

Name
Paul A. Williams, M.S.P.H.
Title
Administrator
Phone
(704) 333-7376

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

1400 Matthews Township Pkwy
Matthews, NC 28105-4655

Mailing address

200 Queens Rd
Suite 400
Charlotte, NC 28204-3252
Phone (704) 333-7376

Other identifiers 4

IdentifierTypeStateIssuer
2572423OtherUNITED HEALTHCARE
890212BMedicaidNC
GPO441MedicaidSC
0212BOtherNCBLUE CROSS

Other names 1

  • Matthews Radiation Oncology Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041008001119 NC Part B Supplier - Clinic/Group Practice 7810956380 Receives reassigned benefits from 43 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Matthews, NC; Mooresville, NC

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Matthews Rad Oncology Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1400 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 845-8800

170 Medical Park Rd
Ste 100
Mooresville, NC 28117
Phone (704) 235-2580

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264464000000",
    "number": "1710924162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 QUEENS RD",
            "address_2": "SUITE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043252",
            "telephone_number": "704-333-7376",
            "fax_number": "704-333-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 MATTHEWS TOWNSHIP PKWY",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281054655",
            "telephone_number": "704-845-8800",
            "fax_number": "704-845-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-01-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-333-7376",
        "authorized_official_credential": "M.S.P.H."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2572423",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890212B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GPO441",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0212B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthews Radiation Oncology Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matthews, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; 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.