Individual provider Active NPI

Alvin Panahon, MD

  • Radiation Oncology Physician
  • Niagara Falls, NY
National Provider Identifier
1912953571
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
115312-1 Issued in NY
Practice address
6932 Williams Rd
Niagara Falls, NY 14304-3071
Phone
(716) 298-1635
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 115312-1 NY Primary

Addresses

Primary practice location

6932 Williams Rd
Niagara Falls, NY 14304-3071

Mailing address

6932 Williams Rd
Niagara Falls, NY 14304-3071
Phone (716) 298-1635

Other identifiers 1

IdentifierTypeStateIssuer
00776756MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
115312NYMDSocial Worker
115312-1NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald Palazzo, M.D., P.C. Past Accepting new patients
Radiation Oncology Group of Wny, PC Radiation Oncology PastSince Jan 1, 2004 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1912953571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6932 WILLIAMS RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043071",
            "telephone_number": "716-298-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6932 WILLIAMS RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143043071",
            "telephone_number": "716-298-1635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAHON",
        "first_name": "ALVIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "115312-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00776756",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.