NPIMap

Organization Active NPI

Sunrise Radiation Oncology, PC

  • Radiation Oncology Physician
  • Denver, CO
National Provider Identifier
1942609201
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
DR.0054195 Issued in CO
Legal business name
SUNRISE RADIATION ONCOLOGY, PC
Practice address
4700 Hale Pkwy
Founders Building, Ste 150
Denver, CO 80220-4045
Phone
(303) 320-7006
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Patrick Jewell, M.D.
Title
President
Phone
(206) 715-2652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X DR.0054195 CO Primary

Addresses

Primary practice location

4700 Hale Pkwy
Founders Building, Ste 150
Denver, CO 80220-4045

Mailing address

4704 Harlan St
Suite 511
Denver, CO 80212-7415
Phone (720) 382-1008

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1942609201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4704 HARLAN ST",
            "address_2": "SUITE 511",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802127415",
            "telephone_number": "720-382-1008",
            "fax_number": "720-382-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 HALE PKWY",
            "address_2": "FOUNDERS BUILDING, STE 150",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204045",
            "telephone_number": "303-320-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE RADIATION ONCOLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "JEWELL",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-715-2652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CO",
            "license": "DR.0054195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.