Organization Active NPI

Rocky Mountain Cancer Centers LLP

  • Radiation Oncology Physician
  • Longmont, CO
National Provider Identifier
1750055976
Registry record updated Aug 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
ROCKY MOUNTAIN CANCER CENTERS LLP
Practice address
1380 Tulip St
Longmont, CO 80501-3157
Phone
(303) 930-7800
Fax
(303) 930-5503
NPI assigned
Aug 2, 2021
Last updated
Aug 16, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ROCKY MOUNTAIN CANCER CENTERS LLPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 16, 2021

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

Authorized official

Name
Nancy R. Wortham
Title
Senior Credentialing Coordinator
Phone
(303) 930-7803

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X NU
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

1380 Tulip St
Longmont, CO 80501-3157

Mailing address

7951 E Maplewood Ave Ste 350
Greenwood Village, CO 80111-4758
Phone (303) 930-7803

Other names 1

  • Rocky Mountain Cancer Centers-Longmont-Mobile PETCT Other name

National Provider Directory

National Provider Directory
Tax ID family
Rocky MTN Cancer CTRS LLP40 organizations share this tax ID, including this one
Part of
Rocky MTN Cancer CTRS LLP

Other organizations with this tax ID 39

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

View all 39

NPI Registry JSON

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1750055976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7951 E MAPLEWOOD AVE STE 350",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114758",
            "telephone_number": "303-930-7803",
            "fax_number": "303-930-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 TULIP ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013157",
            "telephone_number": "303-930-7800",
            "fax_number": "303-930-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN CANCER CENTERS LLP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROCKY MOUNTAIN CANCER CENTERS LLP",
        "enumeration_date": "2021-08-02",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "WORTHAM",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "303-930-7803"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Cancer Centers-Longmont-Mobile PETCT",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Rocky Mountain Cancer Centers-Longmont-Mobile PETCT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.