South Alabama Radiation Oncology, PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

SOUTH ALABAMA RADIATION ONCOLOGY, PC

Doing business as

Gulf Coast Cancer Center

Practice address

1703 N Bunner St
Foley, AL 36535-2229

Phone

(251) 626-1755

Fax

(251) 980-1683

NPI assigned

Oct 3, 2006

Last updated

Dec 2, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTH ALABAMA RADIATION ONCOLOGY, PCAs reported in NPPES

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

Authorized official

Name

William Carroll Hixson, MD

Title

Owner President

Phone

(251) 943-1680

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Gulf Coast Cancer Center Doing business as

Part of

South Alabama Radiation Oncology PC

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jimmie G Gavras, MD

  • Surgery Physician
  • Fairhope, AL
  • NPI 1649255886
  NPD (past)
• John Wells Wilson, MD

  • Surgery Physician
  • Fairhope, AL
  • NPI 1982790010
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1841384138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "36536",
            "telephone_number": "251-626-1755",
            "fax_number": "251-626-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 N BUNNER ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352229",
            "telephone_number": "251-626-1755",
            "fax_number": "251-980-1683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ALABAMA RADIATION ONCOLOGY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH ALABAMA RADIATION ONCOLOGY, PC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "HIXSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "251-943-1680",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "01D1068466",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CC3256",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51524757",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529601710",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesley Brandon Smith, PA-C
• Clay Smitherman
• Leah K Soley, MD
• Jake Sosa
• South Alabama Hearing and Tinnitus Center, LLC
• South Baldwin Anesthesia, PC
• South Baldwin Childrens Center PC (South Baldwin Childrens Center)
• South Baldwin Dental Associates
• South Baldwin Diagnostic Imagine Associates, P.C.
• South Baldwin Family Practice LLC

• Radiation Oncology Physician in Foley, AL
• Providers in Foley, AL by specialty
• Radiation Oncology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.