XRT IV, INC. (NPI# 1184710824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184710824 |
Entity Type | Organization |
Organization Name | XRT IV, INC. |
Other Organization Name | UNION WASHINGTON CANCER CENTER |
Practice Address |
2 Williams Dr Union MO 63084-2919 |
Practice Telephone | 6365839161 |
Practice Fax Number | 6365831919 |
Mailing Telephone | 6365839161 |
Mailing Fax Number | 6365831919 |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-02-29 |
Authorized Official Name | DR. SALVATORE CONTI (CO-OWNER) |
Authorized Official Telephone | 6365839161 |
Authorized Official Credential | M D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | R5635 | MO | Other Service Providers |
Y | 174400000X | Specialist | R5409 | MO | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | RAILROAD MEDICARE | CT0792 | 01 |
Other Name | Type Code |
---|---|
Union Washington Cancer Center | Doing Business As Name - Organization |
Street Address |
2 WILLIAMS DR |
City | UNION |
State | MO |
Zip Code | 63084-2919 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407490915 | Megan N Pruett | Counselor | 107 Chesire Lane, Union, MO 63084 | 2019-10-29 |
1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
1437697844 | Sally Lavigne | Behavioral Analyst | 1281 Hwy 47, Union, MO 63084 | 2017-02-06 |
1275912107 | Ralph B Smith | Social Worker | 1780 Old Highway 50 E Ste 113, Union, MO 63084 | 2015-05-26 |
1659771707 | Whitney Paige Scanlon | Speech-Language Pathologist | 770 Independence Drive, Union, MO 63084 | 2014-08-26 |
1487066775 | Helen Overstreet | Massage Therapist | 302 Us Highway 50 West, Suite B, Union, MO 63084 | 2014-05-21 |
1093152332 | Katie Henry | Counselor | 1 Par Court, Union, MO 63084 | 2013-05-28 |
1437402336 | Rainbow Abilities Center, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 306 W Hwy 50, Union, MO 63084 | 2012-10-17 |
1962761866 | George Howard Bergevin | Chiropractor | 405 Us Hwy 50, Ste. 200, Union, MO 63084 | 2012-05-11 |
1336478866 | Kristine Marie Posinski | Physical Therapist | 770 Independence Dr, Union, MO 63084 | 2009-12-11 |
Find all providers in zip 63084 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
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1518364629 | Oasis Orthopedic Pain and Wellness of Union, LLC | Specialist | 950 West Chestnut, Suite 101, Union, NJ 07083 | 2014-12-04 |
1366850075 | Tsr Jamaal Martin | Specialist | 2581 Eleanor Terrace, Union, NJ 07083 | 2014-07-25 |
1003229451 | Carlos Gonzalez | Specialist | 323 Whitewood Rd, Union, NJ 07083-8214 | 2014-06-03 |
1447416169 | Elizabeth Ann Mccullough | Specialist | 430 Sardis Rd, Union, SC 29379-8715 | 2008-08-01 |
1578727251 | Radislav Shastun | Specialist | 355 Nottingham Way, Union, NJ 07083-7932 | 2008-07-11 |
1780894105 | Dawn Pinney Sander | Specialist | 1236 Farmcrest Dr, Union, KY 41091-7500 | 2007-05-23 |
1972623619 | Edward Samuel Laduca | Specialist | 2008 Morris Ave, Union, NJ 07083-6014 | 2007-03-29 |
1649309089 | Robert Lee Kincheloe | Specialist | 100 Beverly Dr, Union, SC 29379-9667 | 2007-03-03 |
1164521175 | Richard W Tai | Specialist | 1945 Morris Ave Ste 1, Union, NJ 07083-3518 | 2006-09-22 |
Find all providers in UNION |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.