Physician Oncology, LTD.

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

MD016271E Issued in PA

Legal business name

PHYSICIAN ONCOLOGY, LTD.

Practice address

9600 Roosevelt Blvd
Suite 301
Philadelphia, PA 19115-3932

Phone

(215) 677-5500

NPI assigned

May 31, 2006

Last updated

Oct 6, 2011By 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

Valerie Trent

Title

Manager Practice

Phone

(215) 677-5500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1881631737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 ROOSEVELT BLVD",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153932",
            "telephone_number": "215-677-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9600 ROOSEVELT BLVD",
            "address_2": "SUITE 301",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191153932",
            "telephone_number": "215-677-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN ONCOLOGY, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-10-06",
        "status": "A",
        "authorized_official_last_name": "TRENT",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "MANAGER PRACTICE",
        "authorized_official_telephone_number": "215-677-5500"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "PA",
            "license": "MD016271E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Exclusive Provider Organization in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.