EASTERN RADIATION ONCOLOGY PLLC (NPI# 1659759389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659759389 |
Entity Type | Organization |
Organization Name | EASTERN RADIATION ONCOLOGY PLLC |
Practice Address |
3500 Arendell St Morehead City NC 28557-2901 |
Mailing Address |
Po Box 1142 Morehead City NC 28557-1142 |
Practice Telephone | 9102649672 |
Mailing Telephone | 9102649672 |
Enumeration Date | 2015-05-14 |
Last Update Date | 2015-05-14 |
Authorized Official Name | DR. KYLE E RUSTHOVEN (OWNER) |
Authorized Official Telephone | 9102649672 |
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 |
3500 ARENDELL ST |
City | MOREHEAD CITY |
State | NC |
Zip Code | 28557-2901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093700676 | David Scott Bertrand | Physician Assistant | 3500 Arendell St, Morehead City, NC 28557-2901 | 2005-09-20 |
1598301194 | Katherine S Long | Nurse Practitioner | 3500 Arendell St, Morehead City, NC 28557-2901 | 2019-11-19 |
1497319818 | Julie Moritz | Dietitian, Registered | 3500 Arendell St, Morehead City, NC 28557-2901 | 2019-05-01 |
1912473174 | Kristina Marie Bandy | Dietitian, Registered | 3500 Arendell St, Morehead City, NC 28557-2901 | 2018-10-15 |
1376055020 | Cory Yoder | Dietitian, Registered | 3500 Arendell St, Morehead City, NC 28557-2901 | 2017-11-02 |
1891249306 | Megan Renee Green | Nurse Practitioner | 3500 Arendell St, Morehead City, NC 28557-2901 | 2016-08-12 |
1568819142 | Justin Packer | Physician Assistant | 3500 Arendell St, Morehead City, NC 28557-2901 | 2016-05-24 |
1346626249 | Sara Vaughn | Pharmacist | 3500 Arendell St, Morehead City, NC 28557-2901 | 2015-08-03 |
1922491042 | Leslie Mizelle Barefoot | Pharmacist | 3500 Arendell St, Morehead City, NC 28557-2901 | 2015-03-13 |
1720479751 | Holly Hall | Pharmacist | 3500 Arendell St, Morehead City, NC 28557-2901 | 2015-02-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568022929 | Lixue Dong | Audiologist | 5000 Us Highway 70 West, Suite 103, Morehead City, NC 28557 | 2019-06-18 |
1235611682 | Kayla Stanton | Pharmacist | 5000 Us Hwy 70 Suite 100, Morehead City, NC 28557 | 2018-09-02 |
1154823649 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 5100 Highway 70 W, Morehead City, NC 28557 | 2018-03-01 |
1487162434 | Goshen Medical Center, Incorporated | Clinic/Center | 4370a Arendell St, Morehead, NC 28557 | 2018-01-11 |
1063953123 | Carteret Landing LLC | Custodial Care Facility | 221 Friendly Road, Morehead City, NC 28557 | 2017-03-09 |
1619313277 | 123 Go Kidz | Community/Behavioral Health | 2339 Shore Dr, Morehead City, NC 28557 | 2013-05-22 |
1164765855 | Carly Outland Silverthorne | Social Worker | 209 N 35th St Ste A-2, Morehead City, NC 28557 | 2013-04-01 |
1639437981 | Jeffrey Theodore Hainsworth | Internal Medicine | 623 N 35th St, Morehead City, NC 28557 | 2012-04-24 |
1780993832 | Elizabeth Anne Mills | Pharmacist | 5020 Arendell St., Morehead City, NC 28557 | 2010-10-06 |
1306075650 | Friendly Caregivers | In Home Supportive Care | 710 Arendell St., Morehead City, NC 28557 | 2009-07-08 |
Find all providers in zip 28557 |
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 |
---|---|---|---|---|
1396121745 | Orit Kaidar - Person | Radiology | 101 Manning Drive, Cb #7512, Radiation Oncology, Chapel Hill, NC 27599-7512 | 2015-08-08 |
1134547201 | Zachary J Reitman | Radiology | 2301 Erwin Rd Duke University Hospital, Durham, NC 27710 | 2014-04-04 |
1861810756 | Susan Gr Mcduff | Radiology | Dumc 20 Duke Medical Center, Durham, NC 27710-0001 | 2014-03-28 |
1679830699 | Colette Joan Shen | Radiology | 101 Manning Drive Cb 7512, Chapel Hill, NC 27599-3307 | 2012-04-15 |
1124397328 | Aaron Tyler Wild | Radiology | 200 Queens Rd Ste 400, Charlotte, NC 28204-3264 | 2011-12-19 |
1891964615 | John William Nelson | Radiology | 5524 Hawthorne Park, Raleigh, NC 27613-6006 | 2008-02-26 |
1194905984 | Daniel G. Baseman | Radiology | 70 Neely Rd, Brevard, NC 28712-4267 | 2007-11-08 |
1285844183 | John S Moody | Radiology | 501 N. Elam Avenue, Greensboro, NC 27403 | 2007-05-22 |
1326251075 | North Carolina Oncology Associates | Radiology | 4101 Macon Pond Road, Raleigh, NC 27607-6319 | 2007-05-08 |
1164552865 | Christopher Ryan Kelsey | Radiology | Morris Building, Science Drive, Room 05135, Durham, NC 27710-0001 | 2007-03-06 |
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City | MOREHEAD CITY |
Zip Code | 28557 |
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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.