Progressive Radiation Oncology, PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

01060645 Issued in IN

Legal business name

PROGRESSIVE RADIATION ONCOLOGY, PC

Practice address

2020 Meridian St
Suite 100
Anderson, IN 46016-4346

Phone

(317) 863-2593

Fax

(317) 863-2602

NPI assigned

Dec 11, 2006

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Darrel L Ross, MD

Title

Owner

Phone

(317) 863-2593

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1801956867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 730",
            "city": "FISHERS",
            "state": "IN",
            "postal_code": "460380730",
            "telephone_number": "317-863-2593",
            "fax_number": "317-863-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164346",
            "telephone_number": "317-863-2593",
            "fax_number": "317-863-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE RADIATION ONCOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DARREL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-863-2593",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IN",
            "license": "01060645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP #",
            "identifier": "000000523109",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200371400",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1801956867",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200868590A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1679668735",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Anderson, IN
• Providers in Anderson, IN by specialty
• Radiation Oncology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.

Verify at the official NPI Registry.