Active NPI
Radiation Oncology Associates, PLLC
- Radiation Oncology Physician
- Lewiston, ID
National Provider Identifier
1790930311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- RADIATION ONCOLOGY ASSOCIATES, PLLC
- Practice address
- 504 6TH St
Lewiston, ID 83501-2439 - Phone
- (208) 799-5600
- Fax
- (208) 799-5755
- NPI assigned
- Nov 24, 2008
- 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
- Kent W Anderson, MD
- Title
- Owner
- Phone
- (208) 799-5600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | ID | Primary |
Addresses
Primary practice location
504 6TH St
Lewiston, ID 83501-2439
Mailing address
PO Box 1829
Coeur D Alene, ID 83816-1829
Phone (208) 799-5600
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227484800000",
"number": "1790930311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1829",
"city": "COEUR D ALENE",
"state": "ID",
"postal_code": "838161829",
"telephone_number": "208-799-5600",
"fax_number": "208-799-5755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 6TH ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835012439",
"telephone_number": "208-799-5600",
"fax_number": "208-799-5755"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIATION ONCOLOGY ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "KENT",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-799-5600",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.