Individual provider Active NPI

Theodore J. Robnett, M.D.

  • Radiation Oncology Physician
  • Grants Pass, OR
National Provider Identifier
1952307522
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD28266 Issued in OR
Practice address
510 SW Ramsey Ave
Grants Pass, OR 97527-5554
Phone
(541) 472-7040
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X A75314 CA
Radiation Oncology Physician 2085R0001X MD28266 OR Primary

Addresses

Primary practice location

510 SW Ramsey Ave
Grants Pass, OR 97527-5554

Mailing address

PO Box 8509
Medford, OR 97501-5009
Phone (541) 772-0023

Other identifiers 1

IdentifierTypeStateIssuer
MD28266OtherOROREGON STATE MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051107001038 CA Practitioner - Radiation Oncology 2062430135 Reassigns benefits to 4 organizations
I20080908000070 OR Practitioner - Radiation Oncology 2062430135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Yale University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Group Consultants P CGroup PAC ID 0446248405, 5 clinicians

Practice addresses (Care Compare)

2825 E Barnett Rd
Medford, OR 97504-8332
Phone (541) 789-4263

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Folsom Dermatology CurrentSince Apr 30, 2014 Accepting new patients
Stephen William Doggett, M.D. PA Radiation Oncology CurrentSince May 9, 2014 Accepting new patients
Dermatology & Laser Center of San Diego CurrentSince Mar 13, 2021 Accepting new patients
Minarets Medical Group, Inc. CurrentSince Sep 15, 2016 Accepting new patients
Radiation Oncology Group Consultants, PC Radiation Oncology CurrentSince Jul 7, 2008 Accepting new patients
Compassionate Cancer Care Radiation Diagnostics Group Inc Radiation Oncology Past Accepting new patients
Saint Francis Medical Center Past Accepting new patients
Grossmont Dermatology Medical Clinic PastSince Jul 1, 2010 Accepting new patients
Dignity Health Past Accepting new patients
Asante Past Accepting new patients

Locations

774 East Ave
Chico, CA 95926
Phone (530) 774-2650

344 F St
Ste 200
Chula Vista, CA 91910
Phone (619) 476-1200

1745 Creekside Dr
Folsom, CA 95630
Phone (916) 983-2302

5701 N West Ave
Fresno, CA 93711
Phone (559) 439-3000

1340 W Herndon Ave
Ste 101
Fresno, CA 93711
Phone (559) 438-6577

325 Mall Dr
Ste 111
Hanford, CA 93230
Phone (559) 583-7546

8860 Center Dr
Ste 300
La Mesa, CA 91942
Phone (619) 462-1670

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

20341 SW Birch St
Ste 330
Newport Beach, CA 92660
Phone (949) 490-4820

4060 4th Ave
Ste 209
San Diego, CA 92103
Phone (619) 298-9535

5333 Hollister Ave
Ste 105
Santa Barbara, CA 93111
Phone (805) 439-6871

5757 Pacific Ave
Ste 228
Stockton, CA 95207
Phone (209) 490-5050

14642 Newport Ave
Ste 470
Tustin, CA 92780
Phone (714) 573-9500

1337 S Lovers Ln
Ste D
Visalia, CA 93292
Phone (559) 627-9901

1626 S Court St
Visalia, CA 93277
Phone (559) 583-7546

17704 Jean Way
Lake Oswego, OR 97035
Phone (503) 675-6776

17704 Jean Way
Ste 102
Lake Oswego, OR 97035
Phone (503) 635-9221

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

9135 SW Barnes Rd
Ste 875
Portland, OR 97225
Phone (503) 297-3440

Organizations & group practices 10

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1952307522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8509",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975015009",
            "telephone_number": "541-772-0023",
            "fax_number": "541-472-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275554",
            "telephone_number": "541-472-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBNETT",
        "first_name": "THEODORE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A75314",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OR",
            "license": "MD28266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE MEDICAL LICENSE",
            "identifier": "MD28266",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.