Radiantcare Physicians, PLLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

RADIANTCARE PHYSICIANS, PLLC

Practice address

4525 3Rd Ave SE
Suite 100
Lacey, WA 98503-1010

Phone

(360) 412-8960

Fax

(360) 412-8970

NPI assigned

Dec 28, 2005

Last updated

Sep 27, 2024By 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

Rebecca Gilbert

Title

Practice Manager

Phone

(360) 412-8969

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RadiantCare Radiation Oncology, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 6

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.

• Michael Connor, MD

  • Radiation Oncology Physician
  • Lacey, WA
  • NPI 1285165142
  Medicare reassignment Care Compare group NPD
• Justin William Suszko, MD

  • Radiation Oncology Physician
  • Lacey, WA
  • NPI 1184866527
  Medicare reassignment Care Compare group NPD
• Brent Allan Tinnel, M.D.

  • Radiation Oncology Physician
  • Olympia, WA
  • NPI 1750397071
  Medicare reassignment Care Compare group NPD
• Leonel Alan Kahn, MD

  • Radiation Oncology Physician
  • Atlanta, GA
  • NPI 1508209982

  WA

  Medicare reassignment Care Compare group NPD
• Gregory W Allen, M.D., PHD

  • Radiation Oncology Physician
  • Lacey, WA
  • NPI 1508817404
  Medicare reassignment Care Compare group
• Haleigh Ann Werner, M.D.

  • Radiation Oncology Physician
  • Lacey, WA
  • NPI 1508815440
  Medicare reassignment

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1851378160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE",
            "address_2": "SUITE 100",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-412-8960",
            "fax_number": "360-412-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE",
            "address_2": "SUITE 100",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-412-8960",
            "fax_number": "360-412-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANTCARE PHYSICIANS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "360-412-8969"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7099153",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RadiantCare Radiation Oncology, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Riley Elizabeth Quezada, MS CCC-SLP
• Morgan Quigley
• Amber Christine Quinton, LMT
• Quirt Mongrain Gibree - Maryville, PC (Artesian Dental on Lacey Boulevard)
• Larisa G Raastad, M.D.
• Thomas Frances Rafferty, MD
• David P Ragsdale, DDS
• Amanda Rainey, MA60114028
• Rainier View Counseling PLLC
• Rainier Vista Afh

• Radiation Oncology Physician in Lacey, WA
• Providers in Lacey, WA by specialty
• Radiation Oncology Physician in Washington

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