TERRY D POWELL RADIATION ONCOLOGIST, INC. (NPI# 1093047185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093047185 |
| Entity Type | Organization |
| Organization Name | TERRY D POWELL RADIATION ONCOLOGIST, INC. |
| Practice Address |
1400 W 4th St Radiation Oncology Dept Coffeyville KS 67337 |
| Mailing Address |
Po Box 993 Coffeyville KS 67337-0993 |
| Practice Telephone | 6202521684 |
| Practice Fax Number | 6202521692 |
| Mailing Telephone | 6202521684 |
| Mailing Fax Number | 6202521692 |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-01 |
| Authorized Official Name | TERRY DOUGLAS POWELL (PRESIDENT/OWNER) |
| Authorized Official Telephone | 6202521684 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
9106 | OK | Allopathic & Osteopathic Physicians |
| Y | 2085R0203X |
Radiology Specialization: Therapeutic Radiology |
04-14232 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100196610B | 05 | |
| OK | 100200170B | 05 |
| Street Address |
1400 W 4TH ST, RADIATION ONCOLOGY DEPT |
| City | COFFEYVILLE |
| State | KS |
| Zip Code | 67337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245858471 | Colby Robert Andreasen-cannon | Pharmacist | 1863 5300 Rd, Coffeyville, KS 67337 | 2020-07-14 |
| 1558917245 | Zachary James Newman | Case Manager/Care Coordinator | 1601 West 4th Street, Coffeyville, KS 67337 | 2019-08-18 |
| 1669725396 | Traeger Nelson Tvedten | Chiropractor | 411 1/2 West 11th Street, Coffeyville, KS 67337 | 2012-10-18 |
| 1831408020 | Carrie Lane Strimple | Family Medicine | 1505 W 11th St Ste C, Coffeyville, KS 67337 | 2010-10-05 |
| 1649446931 | Windsor Place At Home Care LLC | Technician | 415 W 11th, Coffeyville, KS 67337 | 2008-05-06 |
| 1679668115 | Daniel H Chappell | Obstetrics & Gynecology | 801 W 8th St., Coffeyville, KS 67337 | 2006-10-03 |
| 1760582878 | Jack S Bell | Physician Assistant | 1411 W 4th, Suite G, Coffeyville, KS 67337 | 2006-09-25 |
| 1114026937 | Stephen A Miller | Obstetrics & Gynecology | 1717 West Eighth, Coffeyville, KS 67337 | 2006-09-21 |
| 1285600379 | Coffeyville Regional Medical Center, Inc. | General Acute Care Hospital | 1400 W 4th Street, Coffeyville, KS 67337 | 2006-02-27 |
| 1689666026 | Rhonda Michelle Line | Physician Assistant | 801 W 8th St, Coffeyville, KS 67337 | 2005-08-22 |
| Find all providers in zip 67337 | ||||
| Taxonomy Code | 2085R0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Therapeutic Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245268416 | Terry Douglas Powell | Radiology | 1400 W 4th St, Coffeyville, KS 67337-3306 | 2006-06-28 |
| City | COFFEYVILLE |
| Zip Code | 67337 |
Please comment or provide details below to improve the information on TERRY D POWELL RADIATION ONCOLOGIST, INC..
| 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.