ONSLOW RADIATION ONCOLOGY LLC (NPI# 1093035628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093035628 |
Entity Type | Organization |
Organization Name | ONSLOW RADIATION ONCOLOGY LLC |
Practice Address |
317 Western Blvd Jacksonville NC 28546-6338 |
Mailing Address |
Po Box 63144 Charlotte NC 28263-3144 |
Practice Telephone | 9105772374 |
Practice Fax Number | 9105774910 |
Mailing Telephone | 9105772374 |
Mailing Fax Number | 9105774910 |
Enumeration Date | 2010-06-05 |
Last Update Date | 2019-11-18 |
Authorized Official Name | ROBERT T SWINDELL (DIRECTOR, MANAGED CARE NETWORKS) |
Authorized Official Telephone | 9105772374 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
067-1440-A1 | NC | Ambulatory Health Care Facilities |
Street Address |
317 WESTERN BLVD |
City | JACKSONVILLE |
State | NC |
Zip Code | 28546-6338 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033115761 | Anuradha Arcot | Pathology | 317 Western Blvd, Department of Pathology, Jacksonville, NC 28546-6338 | 2005-06-27 |
1518589027 | Eliana Marie Rees | Physician Assistant | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2020-05-07 |
1063985117 | Rebecca Cox Larkin | Nurse Practitioner | 317 Western Blvd, Jacksonville, NC 28546-6379 | 2019-01-10 |
1366917999 | Stephanie Marie Place | Nurse Practitioner | 317 Western Blvd, Jacksonville, NC 28546-6379 | 2018-10-10 |
1477068575 | Laura C Barbee | Nurse Practitioner | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2017-12-11 |
1073043196 | Alexis Eccleston | Emergency Medicine | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2017-06-13 |
1093264020 | Daniel Hawkins | Physician Assistant | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2016-10-03 |
1902290281 | Xiomara Antonetti Vance | Emergency Medicine | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2015-03-24 |
1306235429 | Amanda Renee Wells Galluppi | Physician Assistant | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2015-01-13 |
1952723777 | Ivan Christopher Patrick Friant I | General Acute Care Hospital | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2014-01-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
Find all providers in zip 28546 |
Taxonomy Code | 261QX0203X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Oncology, Radiation |
Definition to come... |
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1588724033 | Memorial Southside Cancer Center LLC | Clinic/Center | 5742 Booth Rd, Suite B, Jacksonville, FL 32207 | 2006-12-12 |
NPI | Name | Taxonomy | Address | Enumeration |
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1467672873 | South Atlantic Radiation Oncology, LLC | Clinic/Center | 545 Ocean Highway West, Supply, NC 28462 | 2007-04-26 |
1386926715 | University Radiation Therapy Center | Clinic/Center | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2011-09-12 |
1578885406 | Johnston Radiation Oncology LLC | Clinic/Center | 2076 Hwy 42 W, Suite 120, Clayton, NC 27520-5303 | 2010-02-19 |
1114159027 | Western Regional Radiation Therapy Center | Clinic/Center | 14 Medical Park Loop, Sylva, NC 28779-5221 | 2009-08-12 |
1831331453 | Cancer Center of Davidson County, LLC | Clinic/Center | 107 W Medical Park Dr, Department of Radiation Oncology, Lexington, NC 27292-6851 | 2009-03-27 |
1316194871 | Pineville Radiation Therapy Center, LLC | Clinic/Center | 10650 Park Rd, Charlotte, NC 28210-8407 | 2008-08-26 |
1164500716 | Sampson Regional Medical Center | Clinic/Center | 215 Beaman Street, Clinton, NC 28328 | 2006-11-01 |
City | JACKSONVILLE |
Zip Code | 28546 |
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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.