NORTH CAROLINA RADIATION ONCOLOGY AFFILIATES PA (NPI# 1780724690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780724690 |
| Entity Type | Organization |
| Organization Name | NORTH CAROLINA RADIATION ONCOLOGY AFFILIATES PA |
| Practice Address |
1236 Huffman Mill Rd Suite 120 Burlington NC 27215-8700 |
| Mailing Address |
Po Box 65595 Charlotte NC 28265-0595 |
| Practice Telephone | 3365387725 |
| Practice Fax Number | 3365387785 |
| Mailing Telephone | 3365387725 |
| Mailing Fax Number | 3365387785 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2008-09-26 |
| Authorized Official Name | GLENN S CHRYSTAL (PHYSICIAN) |
| Authorized Official Telephone | 3365387725 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 890123M | 05 | |
| NC | 7922488 | 05 |
| Street Address |
1236 HUFFMAN MILL RD SUITE 120 |
| City | BURLINGTON |
| State | NC |
| Zip Code | 27215-8700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791257 | Philip H. Lavine | Psychiatry & Neurology | 1236 Huffman Mill Rd, Ste 2200, Burlington, NC 27215-8700 | 2005-06-21 |
| 1578057345 | Lauren Grant Allen | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2018-06-15 |
| 1063924660 | Jennifer Elizabeth Burns | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2017-11-04 |
| 1710412762 | Dana Graves Blakeney | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2017-04-27 |
| 1407391766 | Bincy Samuel Varughese | Nurse Practitioner | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2016-12-22 |
| 1538601257 | Moses Cone Physician Services, Inc | Anesthesiology | 1236 Huffman Mill Rd, Suite 2000, Burlington, NC 27215-8700 | 2016-11-11 |
| 1598154411 | Glenn Chrystal | Radiology | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2015-01-15 |
| 1891191318 | Cynthia L. Porfilio | Physical Therapist | 1236 Huffman Mill Rd, Suite 1300, Burlington, NC 27215-8700 | 2014-11-11 |
| 1043636780 | Unc Physicians Network LLC | Urology | 1236 Huffman Mill Rd, Suite 2550, Burlington, NC 27215-8700 | 2014-03-05 |
| 1053751586 | Unc Physicians Network, LLC | Urology | 1236 Huffman Mill Rd, Suite 2550, Burlington, NC 27215-8700 | 2013-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748708 | Svetlana Nepocatych | Dietitian, Registered | 542 Spaulding St, Burlington, NC 27215 | 2020-07-30 |
| 1992341382 | Gracepoint Recovery Services | Counselor | The Gregory Business Center, 154 Huffman Mill Roal, Burlington, NC 27215 | 2019-11-21 |
| 1336797331 | Kelly Elizabeth Fleming | Preventive Medicine | Stallings-evans Sports Medicine Center, 91 Stadium Drive, Chapel Hill, NC 27215 | 2019-09-03 |
| 1861911968 | Michael Frey | Pharmacist | 2344 South Church St, Burlington, NC 27215 | 2017-09-11 |
| 1174043822 | Comfort Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Dr, Burlington, NC 27215 | 2017-06-23 |
| 1811417561 | Burlington Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 1244 Plaza Drive, Burlington, NC 27215 | 2017-06-23 |
| 1912459132 | Herb Mccandless Jr. | Non-emergency Medical Transport (VAN) | 4412 Dogwood Rd, Burlington, NC 27215 | 2016-11-04 |
| 1023479623 | Alpha Diagnostics, LLC | Clinical Medical Laboratory | 3015 South Church St, Burlington, NC 27215 | 2016-03-10 |
| 1669720819 | Lucy Wessinger Menefee | Registered Nurse | Unc Nephrology and Hypertension, 3325 Garden Road, Burlington, NC 27215 | 2012-08-20 |
| 1154685402 | Sheryl Harper | Social Worker | 2815 North Church Street, Burlington, NC 27215 | 2012-07-02 |
| Find all providers in zip 27215 | ||||
| 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 |
|---|---|---|---|---|
| 1346498789 | Klaudia Hunter | Radiology | Lahey Clinic Dept of Radiation Oncology, 41 Mall Rd, Burlington, MA 01805-0001 | 2008-08-27 |
| 1770588923 | Gene Wong | Radiology | 41 Mall Rd, Burlington, MA 01805 | 2005-06-15 |
| 1598154411 | Glenn Chrystal | Radiology | 1236 Huffman Mill Rd, Burlington, NC 27215-8700 | 2015-01-15 |
| 1467727685 | Nataniel Hernan Lester-coll | Radiology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2012-03-21 |
| 1619266624 | Fletcher Allen Health Care Inc | Radiology | 111 Colchester Ave, Burlington, VT 05401-1473 | 2011-03-30 |
| 1043443518 | Carl Nelson | Radiology | 111 Colchester Ave, Dept of Radiation Oncology, Burlington, VT 05401-1473 | 2009-08-31 |
| 1407059371 | Havaleh Marie Gagne | Radiology | 111 Colchester Ave, Mc 301sh2, Burlington, VT 05401-1473 | 2007-06-07 |
| 1952513392 | Howard Chia-hao Hsu | Radiology | 41 Mall Rd, Burlington, MA 01805-0001 | 2007-05-06 |
| 1255488102 | Herbert H Leventhal | Radiology | Lahey Clinic, 41 Mall Road, Burlington, MA 01805-0001 | 2007-01-04 |
| 1871659227 | James R Cassady | Radiology | 41 Mall Rd, Burlington, MA 01805-0001 | 2006-12-29 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 27215 |
Please comment or provide details below to improve the information on NORTH CAROLINA RADIATION ONCOLOGY AFFILIATES PA.
| 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.