East Texas Radiation Oncology, PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

EAST TEXAS RADIATION ONCOLOGY, PA

Practice address

721 Clinic Dr
Tyler, TX 75701-2043

Phone

(903) 595-5550

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James D Kolker, MDNPI 1568433373

Title

President

Phone

(903) 595-5550

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 3

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

• James David Kolker, MD

  • Radiation Oncology Physician
  • Philadelphia, PA
  • NPI 1568433373
  NPD (past) Authorized official
• Heidi Louise McKellar, MD

  • Hospice and Palliative Medicine (Radiology) Physician
  • Dallas, TX
  • NPI 1831160647

  Radiation Oncology

  NPD (past)
• Robena Elaine Medbery, M.D.

  • Radiation Oncology Physician
  • Charleston, SC
  • NPI 1053364968
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1801809074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840059",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840059",
            "telephone_number": "903-595-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 CLINIC DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757012043",
            "telephone_number": "903-595-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST TEXAS RADIATION ONCOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "KOLKER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-595-5550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "0029AE",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CE8872",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• East Texas Pediatric Rehabilitation Associates Inc
• East Texas Physician Assistant Services
• East Texas Podiatry Associates, P.C.
• East Texas Priority Medical Transportation LLC
• East Texas Psychiatry and Counseling PLLC
• East Texas Spine Institute, PA
• East Texas Therapy and Rehab
• East Texas Vascular Associates, P.a.
• Eastwood Care & Rehab LLC
• Catherine L Eaton

• Radiation Oncology Physician in Tyler, TX
• Providers in Tyler, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.