Angelina Radiation Oncology Associates

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

ANGELINA RADIATION ONCOLOGY ASSOCIATES

Practice address

1201 W Frank Ave
Lufkin, TX 75904-3357

Phone

(936) 639-7466

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sidney Creed Roberts, MDNPI 1093760191

Title

President

Phone

(936) 639-7466

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• AROA Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sidney Creed Roberts, M.D.

  • Therapeutic Radiology Physician
  • Lufkin, TX
  • NPI 1093760191

  Radiation Oncology

  Medicare reassignment NPD Authorized official
• Brenda Louise Holbert-Fernandez, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Lufkin, TX
  • NPI 1770627960
  NPD (past)
• Burnett Hanson, MD

  • Radiation Oncology Physician
  • McComb, MS
  • NPI 1730292798
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645747200000",
    "number": "1750313391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8325",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757118325",
            "telephone_number": "877-839-9517",
            "fax_number": "903-531-2337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W FRANK AVE",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043357",
            "telephone_number": "936-639-7466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGELINA RADIATION ONCOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "SIDNEY",
        "authorized_official_middle_name": "CREED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-639-7466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TEXAS",
            "identifier": "00F02L",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082393201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AROA",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "AROA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angelina Internal Medicine Associates
• Angelina Neurology PA
• Angelina Optometric Associates
• Angelina Pediatrics PLLC
• Angelina Physician Services PA
• Angelina Rehabilitation Center, LLC
• Angelina Sleep Lab LTD
• Angelina Surgical Assistants LLC
• Angelina Surgical Associates
• Angelina Wound Center, LLC

• Radiation Oncology Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.