Active NPI
Main Line Radiation Oncology PC
- Radiation Oncology Physician
- Wynnewood, PA
National Provider Identifier
1962402172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- MAIN LINE RADIATION ONCOLOGY PC
- Practice address
- 100 E Lancaster Ave
Wynnewood, PA 19096-3450 - Phone
- (610) 645-2433
- NPI assigned
- Jul 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linna Li, MD
- Title
- Physician
- Phone
- (484) 476-2433
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Mailing address
PO Box 825854
Philadelphia, PA 19182-5854
Phone (903) 255-7373
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0016753680001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
130 S Bryn Mawr Ave
#4
Bryn Mawr, PA 19010
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Philadelphia, PA
- NPI 1699929844
-
- Radiation Oncology Physician
- Bryn Mawr, PA
- NPI 1306891338
-
- Radiation Oncology Physician
- Exton, PA
- NPI 1689660011
-
- Radiation Oncology Physician
- Glen Mills, PA
- NPI 1568817435
-
- Radiation Oncology Physician
- Wynnewood, PA
- NPI 1457351660
-
- Radiation Oncology Physician
- Paoli, PA
- NPI 1467477299
-
- Radiation Oncology Physician
- Bryn Mawr, PA
- NPI 1386683670
-
- Radiation Oncology Physician
- Exton, PA
- NPI 1407856628
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1962402172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 825854",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191825854",
"telephone_number": "903-255-7373",
"fax_number": "615-807-3078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-645-2433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN LINE RADIATION ONCOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-29",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "LI",
"authorized_official_first_name": "LINNA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "484-476-2433",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0016753680001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.