REGIONAL UROLOGY ONCOLOGY AND RADIATION TREATMENT CENTER (NPI# 1174575591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174575591 |
| Entity Type | Organization |
| Organization Name | REGIONAL UROLOGY ONCOLOGY AND RADIATION TREATMENT CENTER |
| Practice Address |
255 Bert Kouns Loop Shreveport LA 71106-8150 |
| Mailing Address |
301 Bert Kouns Loop Shreveport LA 71106-8124 |
| Practice Telephone | 3186824590 |
| Practice Fax Number | 3186824598 |
| Mailing Telephone | 3186824590 |
| Mailing Fax Number | 3186824598 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-11-15 |
| Authorized Official Name | DR. RAYMOND D GERMANY JR. (OWNER) |
| Authorized Official Telephone | 3186830411 |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | RAILROAD MEDICARE | DF1999 | 01 |
| LA | 1448192 | 05 |
| Street Address |
255 BERT KOUNS LOOP |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71106-8150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801467 | James Robert Noble | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-20 |
| 1629620083 | Catie Arnold Griffith | Licensed Practical Nurse | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2019-07-15 |
| 1588661599 | Misty N Miller | Nurse Anesthetist, Certified Registered | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-07-05 |
| 1245237742 | Regional Urology LLC. | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-30 |
| 1710983127 | William Thazter Hall | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-22 |
| 1881699395 | Tobin Hodge Grigsby | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-21 |
| 1699770107 | Kevin James Cline | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-21 |
| 1811992373 | Thomas Evan Palmer | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-20 |
| 1275538738 | Malcolm A Mcmillan | Nurse Anesthetist, Certified Registered | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-20 |
| 1871598342 | Tommy Moses Mook | Urology | 255 Bert Kouns Loop, Shreveport, LA 71106-8150 | 2005-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972008332 | Andrew Joseph Brouillette | Dentist | 385 Bert Kouns Industrial Loop Ste 700, Shreveport, LA 71106 | 2018-03-28 |
| 1548775885 | David Wayne Spears | Pharmacist | 10460 Norris Ferry Road, Shreveport, LA 71106 | 2017-12-08 |
| 1225559263 | Susan Anderson Roblow | Physical Therapist | 921 Unadilla Street, Shreveport, LA 71106 | 2017-06-29 |
| 1134656382 | James Lowder | Dentist | 8691 Line Ave Ste 300, Shreveport, LA 71106 | 2017-05-18 |
| 1144753708 | Laverne Brantley | Counselor | 328 E 69th St, Shreveport, LA 71106 | 2017-04-10 |
| 1437690849 | Biostat Laboratories, LLC | Clinical Medical Laboratory | 9742 Saint Vincent Ave Ste 200, Shreveport, LA 71106 | 2017-03-17 |
| 1841730728 | Cedric Thomas | Case Manager/Care Coordinator | 6811 Fairfield Avenue, Shreveport, LA 71106 | 2017-02-27 |
| 1225576192 | Nick Vergis | Pharmacist | 5828 Line Avenue, Shreveport, LA 71106 | 2017-02-10 |
| 1184162554 | Marilyn Johnson | Case Manager/Care Coordinator | 9245 Wallace Lake Rd Ste A, Shreveport, LA 71106 | 2017-02-06 |
| 1417499740 | Pamela Lee | Counselor | 8802 Coyth Ln, Shreveport, LA 71106 | 2016-11-17 |
| Find all providers in zip 71106 | ||||
| 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 |
|---|---|---|---|---|
| 1669564258 | Radiation Oncology Services Apmc | Radiology | 2600 Kings Hwy., Shreveport, LA 71103 | 2006-09-29 |
| 1265439863 | Michael Leonard Durci | Radiology | 2600 Kings Hwy, Willis Knighton Cancer Center, Shreveport, LA 71103-3950 | 2005-06-28 |
| 1922478304 | Wk Radiation Oncology Services | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2015-09-29 |
| 1659767127 | Sergio Jaramillo | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2015-04-11 |
| 1457615395 | Chiachien Jake Wang | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2012-06-26 |
| 1093006603 | Daniella Phuong-di Dang | Radiology | 2600 Kings Hwy, Shreveport, LA 71103-3950 | 2011-04-29 |
| 1770809238 | Promas LLC | Radiology | 1453 E Bert Kouns Industrial Loop, Shreveport, LA 71105 | 2010-04-08 |
| 1225258809 | Radiation Oncology St Mary Place LLC | Radiology | One Saint Mary Place, Cancer Treatment Center, Shreveport, LA 71101-4343 | 2007-04-26 |
| 1548487804 | Radiation Oncology Associates A Medical Corporation | Radiology | 1 Saint Mary Pl, Shreveport, LA 71101-4343 | 2007-04-19 |
| 1578576526 | Beng-hoey Jo | Radiology | 510 E Stoner Ave, Shreveport, LA 71101-4243 | 2006-08-14 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71106 |
Please comment or provide details below to improve the information on REGIONAL UROLOGY ONCOLOGY AND RADIATION TREATMENT CENTER.
| 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.