Organization Active NPI

Genesse County Radiation Oncology PC

  • Specialist
  • Flint, MI
National Provider Identifier
1770766206
Registry record updated Mar 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
AA060744 Issued in MI
Legal business name
GENESSE COUNTY RADIATION ONCOLOGY PC
Practice address
302 Kensington Ave
Flint, MI 48503-2044
Phone
(810) 762-8058
NPI assigned
Dec 6, 2007
Last updated
Mar 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2018

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

Authorized official

Name
Dr. Ahmed M Akl, MD
Title
Doctor
Phone
(810) 762-8058

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X AA060744 MI Primary

Addresses

Primary practice location

302 Kensington Ave
Flint, MI 48503-2044

Mailing address

14170 Moffett Dr
Fenton, MI 48430-3262
Phone (810) 762-8058

Other identifiers 3

IdentifierTypeStateIssuer
4644866MedicaidMI
3002510931OtherMIBLUE CROSS
300C56112OtherMIHEALTH PLUS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1770766206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14170 MOFFETT DR",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484303262",
            "telephone_number": "810-762-8058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESSE COUNTY RADIATION ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "AKL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "810-762-8058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MI",
            "license": "AA060744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4644866",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "3002510931",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLUS",
            "identifier": "300C56112",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.