Active NPI
Radiation Oncologists of Central Arizona
- Radiation Oncology Physician
- Phoenix, AZ
National Provider Identifier
1770736324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- RADIATION ONCOLOGISTS OF CENTRAL ARIZONA
- Practice address
- 4611 E. Shea Blvd
Ste 120
Phoenix, AZ 85028-4245 - Phone
- (602) 441-3845
- Fax
- (602) 464-9769
- NPI assigned
- Oct 28, 2008
- Last updated
- Jan 21, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John Kresl, M.D., PH.D
- Title
- Management/Committee Member
- Phone
- (602) 441-3845
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
4611 E. Shea Blvd
Ste 120
Phoenix, AZ 85028-4245
Mailing address
4611 E. Shea Blvd
Ste 120
Phoenix, AZ 85028-4254
Phone (602) 441-3845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 391486 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4611 E Shea Blvd
Ste 120
Phoenix, AZ 85028
Phone (602) 441-3845
Practitioners & affiliated clinicians
Practitioners 20
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1366418675
-
- Family Nurse Practitioner
- Phoenix, AZ
- NPI 1437672680
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1013126440
-
- Radiation Oncology Physician
- Glendale, AZ
- NPI 1457561086
-
- Physician Assistant
- Glendale, AZ
- NPI 1649865155
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1730232448
-
- Radiation Oncology Physician
- Scottsdale, AZ
- NPI 1821052069
-
- Radiation Oncology Physician
- Scottsdale, AZ
- NPI 1659337566
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1275509846
-
- Radiation Oncology Physician
- Scottsdale, AZ
- NPI 1235103839
-
- Radiation Oncology Physician
- Phoenix, AZ
- NPI 1013970714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225152000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453334400000",
"number": "1770736324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 E. SHEA BLVD",
"address_2": "STE 120",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850284254",
"telephone_number": "602-441-3845",
"fax_number": "602-464-9769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4611 E. SHEA BLVD",
"address_2": "STE 120",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850284245",
"telephone_number": "602-441-3845",
"fax_number": "602-464-9769"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIATION ONCOLOGISTS OF CENTRAL ARIZONA",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-28",
"last_updated": "2016-01-21",
"status": "A",
"authorized_official_last_name": "KRESL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MANAGEMENT/COMMITTEE MEMBER",
"authorized_official_telephone_number": "602-441-3845",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., PH.D"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "391486",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Meghan Marie Rader, CRNA
- Peggy J Radford, M.D.
- Priya Radhakrishnan, M.D.
- Radiant Hills Health Associates LLC (North Mountain Medical and Rehabilitation Center)
- Radiant Smile Dentistry PLLC (Radiant Smiles Phoenix)
- Mary Nada Radic, M.S.
- Radiology Consultants PLLC
- Radiology Consultants PLLC
- Radiology Professional Management LLC
- Radius Anesthesia of Arizona PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.