Organization Active NPI

Regional Radiation Oncology Care, PC

  • Radiation Oncology Physician
  • Sidney, NE
National Provider Identifier
1770616658
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
19219 Issued in NE
Legal business name
REGIONAL RADIATION ONCOLOGY CARE, PC
Practice address
830 Pine St
Sidney, NE 69162-2284
Phone
(308) 630-1716
Fax
(308) 630-1445
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Allan Hartman, M.D.
Title
President
Phone
(308) 630-1716

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 19219 NE Primary

Addresses

Primary practice location

830 Pine St
Sidney, NE 69162-2284

Mailing address

PO Box 2116
Scottsbluff, NE 69363-2116
Phone (308) 630-1716

National Provider Directory

National Provider Directory

Locations

3911 Avenue B
Ste G100
Scottsbluff, NE 69361
Phone (308) 630-1348

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770616658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2116",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693632116",
            "telephone_number": "308-630-1716",
            "fax_number": "308-630-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PINE ST",
            "city": "SIDNEY",
            "state": "NE",
            "postal_code": "691622284",
            "telephone_number": "308-630-1716",
            "fax_number": "308-630-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL RADIATION ONCOLOGY CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-630-1716",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "NE",
            "license": "19219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, NE

Sources for this page

  • 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.