Central Kentucky Radiation Oncology Group

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

CENTRAL KENTUCKY RADIATION ONCOLOGY GROUP

Doing business as

Bluegrass Radiation Oncology
Danville Radiation Oncology

Practice address

520 Techwood Dr N Ste 200
Danville, KY 40422-8500

Phone

(859) 236-9819

NPI assigned

Jan 29, 2024

Organization subpart

No

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

Authorized official

Name

Lisa Nicole Barrera

Title

Administrator

Phone

(209) 914-8534

Specialties & licenses 1

Addresses

Other names 2

• Bluegrass Radiation Oncology Doing business as
• Danville Radiation Oncology Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 1

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

• Gregory H. Carlsen, MD

  • Radiation Oncology Physician
  • Danville, KY
  • NPI 1306831516
  Medicare reassignment NPD

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1801658364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 RIDGE RD",
            "city": "RUTHERFORD",
            "state": "NJ",
            "postal_code": "070702136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 TECHWOOD DR N STE 200",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404228500",
            "telephone_number": "859-236-9819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Physicians Park",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "KY",
            "postal_code": "406014203",
            "country_code": "US",
            "telephone_number": "502-223-3551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL KENTUCKY RADIATION ONCOLOGY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "BARRERA",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "209-914-8534"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Danville Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Danville Radiation Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Kentucky Interventional Pain Center, PLLC
• Central Kentucky Kidney Care LLC
• Central Kentucky Kidney Center LLC
• Central Kentucky Plastic Surgery, PLLC
• Central Kentucky Psychiatry, PLLC
• Central Kentucky Radiology
• Central Kentucky Spine Surgery, PLLC
• Central Kentucky Surgeons, PSC
• Robin T. Cerridwen, CRNA
• Charles J Zimmermann DPM

• Radiation Oncology Physician in Danville, KY
• Providers in Danville, KY by specialty
• Radiation Oncology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.