RADIATION ONCOLOGY ASSOCIATES OF MICHIANA PC (NPI# 1073569174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073569174 |
| Entity Type | Organization |
| Organization Name | RADIATION ONCOLOGY ASSOCIATES OF MICHIANA PC |
| Practice Address |
707 Cedar St South Bend IN 46617-2054 |
| Practice Telephone | 5742712558 |
| Practice Fax Number | 5742731137 |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GUY KEDZIORA (PRESIDENT) |
| Authorized Official Telephone | 5742378000 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114030145 | Radiation Oncology Associates of Michiana PC | Radiology | 1915 Lake Ave, Plymouth, IN 46563-9366 | 2006-08-16 |
| Street Address |
707 CEDAR ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-2054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326024431 | Gretchen Lynn Neff | Genetic Counselor, MS | 707 Cedar St, Suite 405, South Bend, IN 46617-2054 | 2005-12-20 |
| 1528556982 | Susan Jane Lies | Registered Nurse | 707 Cedar St, South Bend, IN 46617-2054 | 2018-05-01 |
| 1831387786 | Cardiology Care, P.C. | Specialist | 707 Cedar St, Ste 175, South Bend, IN 46617-2054 | 2007-10-04 |
| 1417161951 | Saint Joseph Regional Medical Center - South Bend Campus | Durable Medical Equipment & Medical Supplies | 707 Cedar St, Suite 150, Image Recovery, South Bend, IN 46617-2054 | 2007-05-10 |
| 1063438117 | Urology Associates of South Bend, PC | Urology | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-07-14 |
| 1972552636 | Howard R Engel | Internal Medicine | 707 Cedar St, Suite 350, South Bend, IN 46617-2054 | 2006-05-09 |
| 1386609527 | Urology Associates of South Bend, PC | Durable Medical Equipment & Medical Supplies | 707 Cedar St, Suite #450, South Bend, IN 46617-2054 | 2006-04-19 |
| 1306826110 | Daniel Eric Scherb | Internal Medicine | 707 Cedar St, Ste 175, South Bend, IN 46617-2054 | 2006-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1750337911 | Joel N Cohen | Radiology | 111 Sunnybrook Ct, South Bend, IN 46637-3437 | 2006-05-26 |
| 1003801283 | Russell F Johnson | Radiology | 615 N Michigan St, 1st Floor, South Bend, IN 46601-1033 | 2005-09-14 |
| 1396738209 | Gurbachan S Kapoor | Radiology | 4755 Ameritech Dr, South Bend, IN 46628-9120 | 2005-08-25 |
| 1659651735 | Lauren C Das | Radiology | 615 N Michigan St, First Floor, South Bend, IN 46601-1033 | 2011-08-22 |
| 1346454998 | Samuel Mcgrath | Radiology | 615 N Michigan St Fl 1, South Bend, IN 46601-1033 | 2007-05-10 |
| 1790770964 | David Alan Hornback | Radiology | 615 N Michigan St, South Bend, IN 46601-1033 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607555 | Cancer Specialists LLC | Radiology | 600 Vale Park Rd N Unit A, Valparaiso, IN 46383-2546 | 2019-03-06 |
| 1811376759 | Namita Agrawal | Radiology | 3420 Dubois St, West Lafayette, IN 47906-7200 | 2015-05-26 |
| 1194982512 | Jennifer Elizabeth Fisher | Radiology | 1340 N. Madison, Anderson, IN 46011-1216 | 2008-05-22 |
| 1548439938 | Cancer Care Group, P.C. | Radiology | 1600 Lafayette Rd, Crawfordsville, IN 47933-1031 | 2008-02-29 |
| 1659491132 | Cancer Care Group, P.C. | Radiology | 6100 W 96th St Ste 125, Indianapolis, IN 46278-6006 | 2007-03-30 |
| 1851411946 | Cancer Care Group, P.C. | Radiology | 11725 Illinois Street, Suite Ll050, Carmel, IN 46032-3008 | 2007-03-30 |
| 1265527329 | Stanley Scot Givens | Radiology | 8244 East Us 36, Avon, IN 46123 | 2006-10-04 |
| 1598850653 | Robert Howard Liebross | Radiology | 8402 Harcourt Road, Suite 721, Indianapolis, IN 46260 | 2006-10-04 |
| 1205949252 | Heartland Radiation Oncology | Radiology | 1159 W Jefferson St, Franklin, IN 46131-2794 | 2006-08-16 |
| 1356373526 | Eileen F Mcgarvey | Radiology | 621 West St, Madison, IN 47250-3344 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
Please comment or provide details below to improve the information on RADIATION ONCOLOGY ASSOCIATES OF MICHIANA PC.
| 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.