TRI-STATE RADIATION ONCOLOGY CENTERS LLC (NPI# 1225274244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225274244 |
| Entity Type | Organization |
| Organization Name | TRI-STATE RADIATION ONCOLOGY CENTERS LLC |
| Practice Address |
700 N Burkhardt Rd Evansville IN 47715-2740 |
| Mailing Address |
Po Box 2084 Indianapolis IN 46206-2084 |
| Practice Telephone | 8124741110 |
| Practice Fax Number | 8124741303 |
| Mailing Telephone | 8003319294 |
| Mailing Fax Number | 8124719282 |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2009-10-01 |
| Authorized Official Name | JOE CHANG (CHAIRPERSON) |
| Authorized Official Telephone | 3103354000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | RR MEDICARE | DP0313 | 01 |
| IN | 200926120A | 05 | |
| IN | 200926120B | 05 |
| Street Address |
700 N BURKHARDT RD |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679572507 | Jon Durwood Frazier | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-07-21 |
| 1184243289 | Caroline Niemeier | Nurse Practitioner | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2020-04-09 |
| 1285109413 | Mariah Atkinson | Nurse Practitioner | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2018-10-03 |
| 1205885316 | Therapy Associates Inc | Nurse Practitioner | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-05-08 |
| 1891758272 | Shannon S Lamb | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-04-07 |
| 1588626576 | Crystal D. Reed | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2006-04-05 |
| 1609859446 | Alvin N/a Korba | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-11-25 |
| 1124001961 | Aly A. Razek | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-11-25 |
| 1962497107 | Noah A Taylor | Radiology | 700 N Burkhardt Rd, Evansville, IN 47715-2740 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609984301 | Progressive Cancer Care LLC | Clinic/Center | 831 N Theatre Rd, Marion, IN 46952-1701 | 2006-08-25 |
| 1548508815 | Franklin Radiation LLC | Clinic/Center | 310 Birch St, Crown Point, IN 46307-2607 | 2013-01-22 |
| 1295043925 | Radiotherapy Clinics of Kentuckiana, LLC | Clinic/Center | 1322 Spring St, Jeffersonville, IN 47130-3706 | 2010-09-15 |
| 1508935552 | Greater Lafayette Health Services | Clinic/Center | 1425 Unity Pl, Lafayette, IN 47905-5756 | 2006-11-06 |
| 1780775163 | Indiana University Health Proton Therapy Center, LLC | Clinic/Center | 2425 Milo B. Sampson Lane, Bloomington, IN 47408-1398 | 2006-09-28 |
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on TRI-STATE RADIATION ONCOLOGY CENTERS LLC.
| 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.