NPIMap

Organization Active NPI

Michigan Radiation Oncology, PC

  • Radiation Oncology Physician
  • Battle Creek, MI
National Provider Identifier
1881651529
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
4301057699 Issued in MI
Legal business name
MICHIGAN RADIATION ONCOLOGY, PC
Practice address
300 North Ave
Battle Creek, MI 49017-3307
Phone
(269) 245-8334
Fax
(269) 245-8335
NPI assigned
Apr 27, 2006
Last updated
Oct 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Authorized official

Name
Dr. Randy Alan MudgeNPI 1346200573
Title
M.D.
Phone
(269) 245-8334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 4301057699 MI Primary

Addresses

Primary practice location

300 North Ave
Battle Creek, MI 49017-3307

Mailing address

PO Box 1022
Battle Creek, MI 49016-1022
Phone (269) 245-8334

Other identifiers 2

IdentifierTypeStateIssuer
P35860001OtherMIMI MEDICARE PTAN
4434125MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1881651529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1022",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490161022",
            "telephone_number": "269-245-8334",
            "fax_number": "269-245-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490173307",
            "telephone_number": "269-245-8334",
            "fax_number": "269-245-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHIGAN RADIATION ONCOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "MUDGE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "269-245-8334",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MI",
            "license": "4301057699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI MEDICARE PTAN",
            "identifier": "P35860001",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4434125",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; 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.