Four Corners Radiation Oncology PC

Primary specialty

Radiation Therapy Radiologic TechnologistTaxonomy code 2471R0002X

License

MD2004-0204 Issued in NM

Legal business name

FOUR CORNERS RADIATION ONCOLOGY PC

Practice address

800 W Maple
Farmington, NM 87401

Phone

(505) 599-6105

NPI assigned

May 3, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Linh Ngoc Nguyen, M.D.

Title

Owner

Phone

(505) 599-6105

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720290968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1956",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87499",
            "telephone_number": "505-334-0622",
            "fax_number": "505-334-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W MAPLE",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "87401",
            "telephone_number": "505-599-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS RADIATION ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "LINH",
        "authorized_official_middle_name": "NGOC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-599-6105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2471R0002X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Radiation Therapy",
            "state": "NM",
            "license": "MD2004-0204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Four Winds Recovery Center,Inc
• Ann M Fourr, PTA

• Radiologic Technologist in Farmington, NM
• Providers in Farmington, NM by specialty
• Radiologic Technologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.