NPIMap

Organization Active NPI

Wyoming Valley Radiation Medicine Associates P C

  • Radiation Oncology Clinic/Center
  • Wilkes Barre, PA
National Provider Identifier
1740272871
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X
License
AC02-40449 Issued in PA
Legal business name
WYOMING VALLEY RADIATION MEDICINE ASSOCIATES P C
Practice address
50 Roosevelt Ter
Wilkes Barre, PA 18702-3517
Phone
(570) 822-9822
Fax
(570) 822-7955
NPI assigned
Aug 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Dr. Robert A Rostock, MDNPI 1841292943
Title
Director
Phone
(570) 822-9822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Radiation Oncology Clinic/Center 261QX0203X AC02-40449 PA Primary

Addresses

Primary practice location

50 Roosevelt Ter
Wilkes Barre, PA 18702-3517

Mailing address

50 Roosevelt Ter
Wilkes Barre, PA 18702-3517
Phone (570) 822-9822

Other names 1

  • Cancer Center of Wyoming Valley Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1124150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1740272871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 ROOSEVELT TER",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023517",
            "telephone_number": "570-822-9822",
            "fax_number": "570-822-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 ROOSEVELT TER",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187023517",
            "telephone_number": "570-822-9822",
            "fax_number": "570-822-7955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING VALLEY RADIATION MEDICINE ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-16",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "ROSTOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "570-822-9822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "PA",
            "license": "AC02-40449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cancer Center of Wyoming Valley",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.