RADIATION ONCOLOGY ASSOCIATES, P.A. (NPI# 1750373692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750373692 |
| Entity Type | Organization |
| Organization Name | RADIATION ONCOLOGY ASSOCIATES, P.A. |
| Practice Address |
4650 Jefferson Ln Ne Albuquerque NM 87109-2127 |
| Practice Telephone | 5058899639 |
| Practice Fax Number | 5058892978 |
| Mailing Telephone | 5058899639 |
| Mailing Fax Number | 5058892978 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DANIEL M PEARCE (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 5058834542 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 45070 | 05 |
| Street Address |
4650 JEFFERSON LN NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-2127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588668941 | Mirkutub M. Khan | Radiology | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2005-06-13 |
| 1104075340 | Sarah I Charles | Physician Assistant | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2008-09-11 |
| 1609877349 | Heyoung L Mcbride | Radiology | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2005-08-03 |
| 1346245594 | Amanda J Story | Radiology | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2005-06-15 |
| 1952306219 | Paul A Anthony | Radiology | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2005-06-14 |
| 1710981147 | Charles D. Stutzman | Radiology | 4650 Jefferson Ln Ne, Albuquerque, NM 87109-2127 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295289437 | Truitt Radiation Oncology Services | Radiology | 405 W Country Club Rd, Roswell, NM 88201-5209 | 2016-08-04 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on RADIATION ONCOLOGY ASSOCIATES, P.A..
| 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.