VIDANT RADIATION ONCOLOGY LLC (NPI# 1821465642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821465642 |
| Entity Type | Organization |
| Organization Name | VIDANT RADIATION ONCOLOGY LLC |
| Practice Address |
524 Moye Boulevard Greenville NC 27834-2818 |
| Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
| Practice Telephone | 2525516300 |
| Practice Fax Number | 2525516391 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2015-08-27 |
| Last Update Date | 2019-07-18 |
| Authorized Official Name | KIM COMMINS (CEO) |
| Authorized Official Telephone | 2399317277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 Moye Blvd, Greenville, NC 278344300 | 2399317342 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Vidant Radiation Oncology LLC | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Street Address |
524 MOYE BOULEVARD |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900281 | Douglas B Tippin | Specialist | 524 Moye Boulevard, Greenville, NC 27834 | 2005-08-23 |
| 1508827247 | Mark E Alden | Radiology | 524 Moye Boulevard, Greenville, NC 27834 | 2006-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1821093006 | Andrej V Hnatov | Radiology | 801 Wh Smith Blvd, Carolina Radiation Medicine, Pa, Greenville, NC 27834 | 2005-06-15 |
| 1679578009 | Dale Lemoin Duncan | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2005-06-14 |
| 1508860545 | Gordon Gary Koltis | Radiology | 801 W H Smith Blvd, Greenville, NC 27834-3764 | 2005-06-08 |
| 1104212026 | Aidan Michael Burke | Radiology | 600 Moye Blvd, Greenville, NC 27834-4300 | 2015-04-07 |
| 1740686591 | St. Francis Hospital Inc | Radiology | 104 Innovation Dr, Greenville, SC 29607-5253 | 2014-11-06 |
| 1750693453 | Matthew Adrian Spear | Radiology | 600 Moye Blvd, Leo Jenkins Cancer Services, Greenville, NC 27834-4300 | 2010-07-09 |
| 1972831071 | Emory Richard Mctyre | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2009-12-01 |
| 1164675559 | Michael Philip Greenbaum | Radiology | 900 W Faris Rd, Greenville, SC 29605-4255 | 2008-10-29 |
| 1235394081 | Andrew W Ju | Radiology | 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834-4300 | 2008-07-22 |
| 1205008349 | Albert Attia | Radiology | 104 Innovation Dr Ste 2000, Greenville, SC 29607-5253 | 2008-03-28 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
Please comment or provide details below to improve the information on VIDANT RADIATION ONCOLOGY LLC.
| 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.