Active NPI
XRT III, Inc
- Specialist
- Fairview Heights, IL
National Provider Identifier
1861587586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- XRT III, INC
- Practice address
- 326 Fountains Pkwy
Fairview Heights, IL 62208-2041 - Phone
- (618) 632-5501
- Fax
- (618) 632-5521
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary W Conti, M D
- Title
- Co-Owner
- Phone
- (618) 632-5501
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | IL | ||
| Specialist | 174400000X | IL | Primary |
Addresses
Primary practice location
326 Fountains Pkwy
Fairview Heights, IL 62208-2041
Mailing address
326 Fountains Pkwy
Fairview Heights, IL 62208-2041
Phone (618) 632-5501
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DB7970 | Other | IL | RAILROAD MEDICARE |
Other names 1
- Illinois Metro Radiation Therapy
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- St. Louis, MO
- NPI 1669443248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203984000000",
"number": "1861587586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 FOUNTAINS PKWY",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622082041",
"telephone_number": "618-632-5501",
"fax_number": "618-632-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 FOUNTAINS PKWY",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622082041",
"telephone_number": "618-632-5501",
"fax_number": "618-632-5521"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "XRT III, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2008-02-26",
"status": "A",
"authorized_official_last_name": "CONTI",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "618-632-5501",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DB7970",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Illinois Metro Radiation Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairview Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.