Andrew W Ju (NPI# 1235394081, PAC ID# 9638313158) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1235394081 |
| PAC ID by PECOS | 9638313158 |
| Professional Enrollment ID | I20130923000509 |
| Full Name | Andrew W Ju |
| Organization Legal Name | VIDANT RADIATION ONCOLOGY LLC |
| Address |
524 Moye Blvd Greenville NC 27834-2848 |
| Phone Number | 2525516300 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2008 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 2567768021 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340040 | VIDANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 524 Moye Blvd, Greenville, NC 27834-2848 | 2525516300 | VIDANT RADIATION ONCOLOGY LLC |
| 801 W H Smith Blvd, Greenville, NC 27834-3764 | 2523290025 | VIDANT RADIATION ONCOLOGY LLC |
| Organization Legal Name | VIDANT RADIATION ONCOLOGY LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas B Tippin | Radiation Oncology | Vidant Radiation Oncology LLC | 801 W H Smith Blvd, Greenville, NC 27834-3764 |
| Hyder Arastu | Radiation Oncology | Vidant Radiation Oncology LLC | 524 Moye Blvd, Greenville, NC 27834-2848 |
| Ann W Maners | Radiation Oncology | Vidant Radiation Oncology LLC | 524 Moye Blvd, Greenville, NC 27834-2848 |
| Clinton H Leinweber | Radiation Oncology | Vidant Radiation Oncology LLC | 600 Moye Blvd, Greenville, NC 27834-4300 |
| Street Address |
524 MOYE BLVD |
| City | GREENVILLE |
| State | NC |
| Zip | 27834-2848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hyder Arastu | Radiation Oncology | Vidant Radiation Oncology LLC | 524 Moye Blvd, Greenville, NC 27834-2848 |
| Ann W Maners | Radiation Oncology | Vidant Radiation Oncology LLC | 524 Moye Blvd, Greenville, NC 27834-2848 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gwendolyn Yn Knuckles | Obstetrics/gynecology | Carolina Clinic for Health and Wellness Pa | 2317 A Executive Park Cir, Greenville, NC 27834 |
| Sandra Bunch Walton | Clinical Nurse Specialist | 1990 Allen Rd B, Greenville, NC 27834-0058 | |
| Joseph L Murad | Obstetrics/gynecology | 1730 W 5th St, Greenville, NC 27834-1602 | |
| Samantha K Brown Cunningham | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Purushothaman Muthukanagaraj | Psychiatry | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Robert E Delozier Iii | Nurse Practitioner | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Richelle L Smallwood | Clinical Social Worker | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Ashley J Britton | Psychologist, Clinical | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Sugaree G Ganzman | Nurse Practitioner | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Monica H Raynor | Clinical Social Worker | East Carolina University | 905 Johns Hopkins Dr, Greenville, NC 27834-2056 |
| Find all physicians in zip 27834 | |||
| City | GREENVILLE |
| Zip Code | 27834 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | GREENVILLE + RADIATION ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.