NPIMap

Organization Active NPI

Radiation Therapy Associates of Western North Carolina PA

  • Gynecologic Oncology Physician
  • Asheville, NC
National Provider Identifier
1851653703
Registry record updated Jul 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
Legal business name
RADIATION THERAPY ASSOCIATES OF WESTERN NORTH CAROLINA PA
Practice address
20 Medical Park Dr
Asheville, NC 28803-2493
Phone
(828) 274-7502
Fax
(828) 271-6599
NPI assigned
Jun 15, 2012
Reactivated
Jul 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2019

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

Authorized official

Name
Timothy D. Shafman, MD
Title
President
Phone
(401) 456-2690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207VX0201X Primary

Addresses

Primary practice location

20 Medical Park Dr
Asheville, NC 28803-2493

Mailing address

2234 Colonial Blvd
Fort Myers, FL 33907-1412
Phone (239) 931-7342

Other names 1

  • New Horizons Womens Cancer Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080226000385 NC Part B Supplier - Clinic/Group Practice 0042246050 Receives reassigned benefits from 22 practitioners
8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Weaverville, NC; Marion, NC; Brevard, NC; Hendersonville, NC; Goldsboro, NC; Clyde, NC; Forest City, NC; Asheville, NC…

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563494400000",
    "number": "1851653703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MEDICAL PARK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032493",
            "telephone_number": "828-274-7502",
            "fax_number": "828-271-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION THERAPY ASSOCIATES OF WESTERN NORTH CAROLINA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2019-07-19",
        "deactivation_date": "2019-07-11",
        "reactivation_date": "2019-07-19",
        "status": "A",
        "authorized_official_last_name": "SHAFMAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-456-2690",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Horizons Womens Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Horizons Womens Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2019; 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.