Gulf Coast Oncology Associates PA

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

GULF COAST ONCOLOGY ASSOCIATES PA

Doing business as

University Cancer & Treatment Center

Practice address

12811 Beamer Rd
Houston, TX 77089-6140

Phone

(281) 579-0061

Fax

(281) 579-0093

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mark A D'Andrea, M.D.NPI 1326081993

Title

Physician

Phone

(281) 579-0061

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• University Cancer & Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark A D'Andrea, M.D.

  • Radiation Oncology Physician
  • Houston, TX
  • NPI 1326081993
  Medicare reassignment NPD Authorized official
• Triptesh K Chaudhury, MD

  • Radiation Oncology Physician
  • Laredo, TX
  • NPI 1548242720
  Medicare reassignment NPD
• Ajay Mitter, MD

  • Hematology & Oncology Physician
  • Galveston, TX
  • NPI 1174587307
  Medicare reassignment

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413763200000",
    "number": "1972541076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7894",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775087894",
            "telephone_number": "281-579-0061",
            "fax_number": "281-579-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12811 BEAMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770896140",
            "telephone_number": "281-579-0061",
            "fax_number": "281-579-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST ONCOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2014-10-20",
        "status": "A",
        "authorized_official_last_name": "D'ANDREA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "281-579-0061",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0049HW",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149949301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Cancer & Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gulf Coast MRI & Diagnostics, Inc.
• Gulf Coast Nephrology LLP
• Gulf Coast Neuropsychology, PLLC
• Gulf Coast Newborn Hearing Screening, LLC
• Gulf Coast Nursing Services, Inc.
• Gulf Coast Opportunity Center
• Gulf Coast Orthopedic and Hand Surgery
• Gulf Coast Pain Specialists PLLC
• Gulf Coast Pathology Associates PLLC
• Gulf Coast Pathology Associates PLLC

• Radiation Oncology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Radiation Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; 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.

Verify at the official NPI Registry.