Lowcountry Radiation Oncology, PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

LOWCOUNTRY RADIATION ONCOLOGY, PA

Practice address

316 Calhoun St
Charleston, SC 29401-1113

Phone

(843) 724-2140

NPI assigned

May 27, 2006

Last updated

Oct 2, 2013By 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

Mary Decker Mulbry, M.D.NPI 1356390249

Title

Owner/Physician

Phone

(843) 724-2140

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Mary Decker Mulbry, M.D.

  • Radiation Oncology Physician
  • Charleston, SC
  • NPI 1356390249
  Authorized official Same address or phone
• Heather Newlin Allen, MD

  • Radiation Oncology Physician
  • Spartanburg, SC
  • NPI 1801965793
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380672000000",
    "number": "1861449688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63345",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282630001",
            "telephone_number": "843-724-2140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 CALHOUN ST",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294011113",
            "telephone_number": "843-724-2140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWCOUNTRY RADIATION ONCOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-10-02",
        "status": "A",
        "authorized_official_last_name": "MULBRY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "DECKER",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "843-724-2140",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP4262",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE4060",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lowcountry Oral Surgery
• Lowcountry Pediatric Therapy LLC
• Lowcountry Physical Therapy Associates LLC
• Lowcountry Psychiatry Inc.
• Lowcountry Psychotherapy Associates, P.a.
• Lowcountry Street Grocery
• Lowcountry Surgery Center (Roper West Ashley Surgery Center)
• Lowcountry Surgery Center LLC (Roper St Francis Eye Center)
• Lowcountry Therapeutic
• Lowcountry Urology Clinics, PA

• Radiation Oncology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Radiation Oncology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; 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.