Northern Arizona Oncology Centers LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

NORTHERN ARIZONA ONCOLOGY CENTERS LLC

Practice address

1100 Gail Gardner Way
Prescott, AZ 86305-1690

Phone

(928) 776-1040

Fax

(928) 776-1041

NPI assigned

Jul 20, 2010

Last updated

Apr 9, 2012By 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

Mark Shalvarjian

Title

Senior Vice President

Phone

(310) 335-4000

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1841503885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60990",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900600990",
            "telephone_number": "310-335-4000",
            "fax_number": "310-335-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GAIL GARDNER WAY",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863051690",
            "telephone_number": "928-776-1040",
            "fax_number": "928-776-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN ARIZONA ONCOLOGY CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-20",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "SHALVARJIAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "310-335-4000"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Rachel Norris, MOT
• Northern Arizona Allergy Group LLC
• Northern Arizona Center for Addiction, LLC
• Northern Arizona Endodontics
• Northern Arizona Family Therapy (Prescott Relationship Center)
• Northern Az Council of Goverments
• Christopher Novack, NP-C
• Amber Nunn, PMHNP
• Beckilynn Leigh Nutter, AUD
• Jacquelyn Marie Nyte

• Radiation Oncology Clinic/Center in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Radiation Oncology Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.