Active NPI
Ashland Radiation Oncology, PSC
- Radiation Oncology Physician
- Ashland, KY
National Provider Identifier
1972648285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- ASHLAND RADIATION ONCOLOGY, PSC
- Practice address
- 706 23Rd St
Tri-State Regional Cancer Center
Ashland, KY 41101-2832 - Phone
- (606) 329-0060
- Fax
- (606) 325-9366
- NPI assigned
- Feb 21, 2007
- 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
- Mrs. Kelly M Lopez
- Title
- Business Manager
- Phone
- (606) 329-0060
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
706 23Rd St
Tri-State Regional Cancer Center
Ashland, KY 41101-2832
Mailing address
706 23Rd St
Tri-State Regional Cancer Center
Ashland, KY 41101-2832
Phone (606) 329-0060
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810004701 | Medicaid | WV | |
| 65919201 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
706 23rd St
Ashland, KY 41101
Phone (606) 329-0060
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1548244536
-
- Radiation Oncology Physician
- Ashland, KY
- NPI 1780668772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1379548800000",
"number": "1972648285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 23RD ST",
"address_2": "TRI-STATE REGIONAL CANCER CENTER",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012832",
"telephone_number": "606-329-0060",
"fax_number": "606-325-9366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 23RD ST",
"address_2": "TRI-STATE REGIONAL CANCER CENTER",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411012832",
"telephone_number": "606-329-0060",
"fax_number": "606-325-9366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASHLAND RADIATION ONCOLOGY, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2013-09-19",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "KELLY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BUSINESS MANAGER",
"authorized_official_telephone_number": "606-329-0060",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004701",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65919201",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.