CENTURY RADIATION ONCOLOGY LUBBOCK, PLLC (NPI# 1194079376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194079376 |
| Entity Type | Organization |
| Organization Name | CENTURY RADIATION ONCOLOGY LUBBOCK, PLLC |
| Practice Address |
424 N. Utica Lubbock TX 79416-3035 |
| Practice Telephone | 8067768200 |
| Practice Fax Number | 8067714177 |
| Mailing Telephone | 8067768200 |
| Mailing Fax Number | 8067714177 |
| Enumeration Date | 2012-11-09 |
| Last Update Date | 2012-11-13 |
| Authorized Official Name | DR. SANJAY C MEHTA (MEDICAL) |
| Authorized Official Telephone | 7135896879 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Street Address |
424 N. UTICA |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79416-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502174 | Jordan Lane Thompson | Pharmacist | 6313 4th Street, Lubbock, TX 79416 | 2020-06-11 |
| 1821636481 | Chieh-an Chou | Specialist/Technologist | 201 N Winston Ave, Lubbock, TX 79416 | 2019-12-13 |
| 1790341949 | Michael Mcpherson, M.d. P.a. | Internal Medicine | 5406 Colgate St, Lubbock, TX 79416 | 2019-05-14 |
| 1154893675 | South Plains Rehabilitation Hospital, LLC | Rehabilitation Hospital | 5406 Colgate Street, Lubbock, TX 79416 | 2018-12-21 |
| 1932697182 | Timothy Sampana | Student in an Organized Health Care Education/Training Program | 5217 Lehigh St, Lubbock, TX 79416 | 2018-04-24 |
| 1306347711 | 4th Street Dental, Pllc | Dentist | 5709 4th St, Lubbock, TX 79416 | 2018-02-22 |
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1013459809 | Isabel Garcia | Occupational Therapy Assistant | 1717 Northfolk Ave, #a, Lubbock, TX 79416 | 2016-11-09 |
| 1033589213 | Rehab Care | Skilled Nursing Facility | 1717 Norfork Ave, Bldg A, Lubbock, TX 79416 | 2015-10-01 |
| 1902281306 | Carrillon | Clinic/Center | 1717 Norfold Bld A, Lubbock, TX 79416 | 2015-07-27 |
| Find all providers in zip 79416 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356620843 | J.michael Kerley, M.d., Pllc | Radiology | 424 N Utica Ave, Lubbock, TX 79416-3035 | 2011-08-15 |
| 1841271574 | Thomas Neumann | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2005-11-09 |
| 1336145515 | Jui-lien Chou | Radiology | 4002 21st St, Ste A, Lubbock, TX 79410-1135 | 2005-06-22 |
| 1134513054 | David Kirk Jenkins | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2015-03-28 |
| 1376955435 | Gabriel Axelrud | Radiology | 4101 22nd Pl, Lubbock, TX 79410 | 2014-05-23 |
| 1972816239 | High Plains Radiation Oncology, LLC | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2010-07-15 |
| 1891987434 | Rufus J. Mark, M.d., P.a. | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2007-08-17 |
| 1962694505 | Paul Anderson, M.d., P.a. | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2007-08-17 |
| 1841482221 | Thomas Neumann, M.d., P.a. | Radiology | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2007-08-09 |
| 1790718203 | Ramzi Eduardo Abdulrahman | Radiology | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-07-08 |
| Find all providers in LUBBOCK | ||||
Please comment or provide details below to improve the information on CENTURY RADIATION ONCOLOGY LUBBOCK, PLLC.
| 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.