SOUTHSIDE RADIATION ONCOLOGY (NPI# 1295941516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295941516 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE RADIATION ONCOLOGY |
| Practice Address |
320 Hospital Dr Memorial Hospital Martinsville VA 24112-1900 |
| Mailing Address |
Po Box 13624 Greensboro NC 27415-3624 |
| Practice Telephone | 2766667200 |
| Mailing Telephone | 3362744285 |
| Mailing Fax Number | 3362748097 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | HEATHER WILLIAMS (BILLING SPECIALIST) |
| Authorized Official Telephone | 3363780076 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
0101032577 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8936188 | 05 | |
| ANTHEM BCBS | 186856 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | SOUTHSIDE RADIATION ONCOLOGY P.C. | Ravenel Oncology Center, 320 Hospital Dr, Martinsville, Virginia 24115 |
| Street Address |
320 HOSPITAL DR MEMORIAL HOSPITAL |
| City | MARTINSVILLE |
| State | VA |
| Zip Code | 24112-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629071378 | David William Roycroft | Pathology | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2005-05-25 |
| 1902420250 | Joshua Colby Lawson | Physician Assistant | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2020-06-02 |
| 1962032854 | Ashley H Williams | Nurse Practitioner | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2020-01-21 |
| 1851939466 | Bryan Cecil Patraw | Registered Nurse | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2019-12-13 |
| 1548820244 | Joseph Wellar Anderson | Health Educator | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2019-06-17 |
| 1356805188 | Rachel Marie Moline | Nurse Anesthetist, Certified Registered | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2019-01-25 |
| 1770057564 | Casey Brown | Dietitian, Registered | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2019-01-15 |
| 1487137931 | Rebekah Fine | Physician Assistant | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2018-09-11 |
| 1326529314 | Peter J Mannen | Emergency Medicine | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2018-08-27 |
| 1871087510 | Rochelle N Gerber | Emergency Medical Technician, Paramedic | 320 Hospital Dr, Martinsville, VA 24112 | 2018-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205327038 | Martinsville Transit, LLC | Taxi | 807 Barrows Mill Rd Apt E, Martinsville, VA 24112 | 2018-05-29 |
| 1699279422 | Terry Michelle Hamdy | Nurse Practitioner | 110 Commonwealth Blvd, Martinsville, VA 24112 | 2018-03-19 |
| 1780184523 | Susan Fullerton | Speech-Language Pathologist | 288 Lancer Lane, Martinsville, VA 24112 | 2018-02-19 |
| 1164920062 | Aesthetic & Family Dental of Martinsville PC | Dentist | 5 Dudley Street, Martinsville, VA 24112 | 2018-01-25 |
| 1124537410 | Hamdy Medical Center, PC | Clinic/Center | 110 W Commonwealth Blvd, Martinsville, VA 24112 | 2017-09-29 |
| 1588180483 | Olton Swanson | Driver | 1440 Rivermount Heights, Martinsville, VA 24112 | 2017-08-22 |
| 1639610686 | Stephanie Hairston | Non-emergency Medical Transport (VAN) | 912 Brookdale St, Ste 1, Martinsville, VA 24112 | 2017-03-10 |
| 1194182790 | Jns Home Healthcare Services | In Home Supportive Care | 708 Berkshire Place, Martinsville, VA 24112 | 2016-01-27 |
| 1033506654 | Caring Hearts Counseling LLC | Community/Behavioral Health | 624 East Church, Suite B, Martinsville, VA 24112 | 2015-04-21 |
| 1073915559 | Shirley Jackson | Occupational Therapy Assistant | 170 Village Court, Martinsville, VA 24112 | 2014-09-16 |
| Find all providers in zip 24112 | ||||
| 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 |
|---|---|---|---|---|
| 1558342741 | Naoyuki G Saito | Radiology | 2209 John R Wooden Drive, Martinsville, IN 46151-1840 | 2005-11-07 |
| 1447201058 | Cancer Care Group, P.C. | Radiology | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2006-05-16 |
| 1235116682 | Nigel Thomas Goodchild | Radiology | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255836953 | Raj Singh | Radiology | Vcu Department of Radiation Oncology, 980058, 1250 E. Marshall Street, Richmond, VA 23298-0058 | 2018-03-26 |
| 1982956678 | Maryview Hospital | Radiology | 7185 Harbour Towne Pkwy S Ste 108, Suffolk, VA 23435-3796 | 2012-10-05 |
| 1578838553 | Commonwealth Oncology Group, LLC | Radiology | 6801 Gov. G. C. Peery Hwy., Clinch Valley Medical Center, Richlands, VA 24641-2194 | 2012-03-09 |
| 1699089953 | Suasin Cancer Care, Inc. | Radiology | 6801 Gov.g.c. Peery Hwy, Richlands, VA 24641 | 2010-07-28 |
| 1760712434 | Ramesh Kakria | Radiology | 1533 Lake James Dr, Virginia Beach, VA 23464-6750 | 2010-01-01 |
| 1649436510 | Camille Williams | Radiology | 6137 Lincolnia Rd, Unit 11182, Alexandria, VA 22312-8000 | 2008-07-31 |
| 1013175769 | Kelli A. Reardon | Radiology | 2871 Ivy Rd, Charlottesville, VA 22903-9304 | 2008-05-29 |
| 1225200132 | Timothy J Harris | Radiology | 401 College Street, Richmond, VA 23298-0058 | 2008-03-31 |
| 1487785564 | Tyvin A. Rich | Radiology | Uva Hospital West, Hospital Drive, 3rd Floor, Charlottesville, VA 22908-0001 | 2007-03-08 |
| 1194866434 | Maria D. Kelly | Radiology | 1230 Grove Park Ct, Earlysville, VA 22936-2840 | 2007-02-09 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 24112 |
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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.