FAIRBANKS RADIATION ONCOLOGY LLC (NPI# 1356437792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356437792 |
| Entity Type | Organization |
| Organization Name | FAIRBANKS RADIATION ONCOLOGY LLC |
| Practice Address |
1650 Cowles Street Fairbanks AK 99701 |
| Mailing Address |
Po Box 232069 Anchorage AK 99523-2069 |
| Practice Telephone | 9074585380 |
| Practice Fax Number | 9077432640 |
| Mailing Telephone | 9074585380 |
| Mailing Fax Number | 9077432641 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | L RODNEY COOK (GENERAL PARTNER) |
| Authorized Official Telephone | 9072613186 |
| Authorized Official Credential | MD |
| 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 |
1650 COWLES STREET |
| City | FAIRBANKS |
| State | AK |
| Zip Code | 99701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134190770 | Patrick D Dean | Psychiatry & Neurology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-01-31 |
| 1437514791 | Maria Jamison | Nurse Anesthetist, Certified Registered | 1650 Cowles Street, Fairbanks Memorial Hospital, Fairbanks, AK 99701 | 2015-12-30 |
| 1891881231 | Essam D Shihadeh | Radiology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-10-05 |
| 1114985322 | Jim R Kimbal | Specialist/Technologist | 1650 Cowles Street, Fmh Rehab Department, Fairbanks, AK 99701 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659984987 | Resource Center for Parents & Children, Inc. | Social Worker | 726 26th Ave, Suite #2, Fairbanks, AK 99701 | 2020-08-26 |
| 1134738982 | Aaron Paul Sarauer | Behavior Technician | 3121 Lathrop St., Fairbanks, AK 99701 | 2020-07-28 |
| 1437715505 | Fabienne Rose Marie Siddall | Case Manager/Care Coordinator | 122 1st Avenue, Fairbanks, AK 99701 | 2019-05-14 |
| 1902461957 | Jacqueline Marie Rahm | Counselor | Family Centered Services of Alaska - Rtc, 3101 Lathrop St., Fairbanks, AK 99701 | 2019-05-06 |
| 1821588989 | Corrie Wilson | Nurse Practitioner | 1025 Barnette Street, Fairbanks, AK 99701 | 2018-05-15 |
| 1922519305 | Sarishma Sangeeta Lal | Registered Nurse | 815 2nd Ave Ste 122, Fairbanks, AK 99701 | 2017-10-12 |
| 1245690569 | Christine L Simko | Naturopath | 1275 Sadler Way, Ste 100 Rm 147, Fairbanks, AK 99701 | 2016-02-29 |
| 1932581600 | Jennifer Davis | Registered Nurse | 1025 West Barnette St., Fairbanks, AK 99701 | 2015-06-18 |
| 1700272705 | John D. Zipperer Jr Md, LLC | Clinic/Center | 751 Old Richardson Hwy., Fairbanks, AK 99701 | 2015-04-07 |
| 1578957460 | Mara Justine Becker | Physician Assistant | 1717 W. Cowles St, Fairbanks, AK- ALASKA 99701 | 2015-03-27 |
| Find all providers in zip 99701 | ||||
| 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 |
|---|---|---|---|---|
| 1891881231 | Essam D Shihadeh | Radiology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427476340 | Daniel Seible | Radiology | 2841 Debarr Rd Ste 100, Anchorage, AK 99508 | 2014-03-29 |
| 1609202282 | Rbs Evolution of Juneau LLC | Radiology | 1701 Salmon Creek Rd, Juneau, AK 99801 | 2013-09-16 |
| 1316280209 | Rbs Evolution of Alaska LLC | Radiology | 240 Hospital Place, Soldotna, AK 99669 | 2013-03-29 |
| 1063711026 | John Stuart Yordy | Radiology | 2490 S Woodworth Loop Ste 150, Palmer, AK 99645-7407 | 2011-03-16 |
| 1558535971 | Jason Andrew Call | Radiology | 188 W Northern Lights Blvd Ste 100, Anchorage, AK 99503 | 2008-04-16 |
| 1972626927 | Eugene Hsu Huang | Radiology | 1701 Salmon Creek Lane, Juneau, AK 99801-7868 | 2007-04-06 |
| 1942331558 | Malcolm I Bull | Radiology | 7220 Russell Cir, Anchorage, AK 99507-6755 | 2007-03-07 |
| 1730492588 | William Jared Magnuson | Radiology | 3851 Piper Street, Anchorage, AK 99507 | 2010-07-22 |
| 1447570874 | Valley Radiation Oncology | Radiology | 2490 S Woodworth Loop, Suite 150, Palmer, AK 99645-7405 | 2010-06-08 |
| 1407011208 | Larry Calvin Daugherty | Radiology | 188 W Northern Lights Blvd Ste 100, Anchorage, AK 99503-3902 | 2008-07-22 |
| Find all providers with the same taxonomy | ||||
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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.