RADIATION ONCOLOGY CENTER - ZACHARY (NPI# 1306355102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306355102 |
| Entity Type | Organization |
| Organization Name | RADIATION ONCOLOGY CENTER - ZACHARY |
| Practice Address |
6180 Main Street Ste B Zachary LA 70791 |
| Practice Telephone | 2255701212 |
| Practice Fax Number | 2255704860 |
| Mailing Telephone | 2255701212 |
| Mailing Fax Number | 2255704860 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Authorized Official Name | KENDALL JOHNSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 2257634791 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities |
| Street Address |
6180 MAIN STREET STE B |
| City | ZACHARY |
| State | LA |
| Zip Code | 70791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164054110 | Amandalin Hopkins Whittington | Occupational Therapist | 4555 Bert St, Zachary, LA 70791 | 2020-02-07 |
| 1346883352 | Dr Terrell S Manuel LLC | Nurse Practitioner | 12038 Greenwell Springs/port Hudson Road, Zachary, LA 70791 | 2019-10-22 |
| 1902451131 | Edward Williams | Case Manager/Care Coordinator | 22749 Fairvway View Drive, Zachary, LA 70791 | 2019-08-05 |
| 1275090672 | Ashley Talbot Thompson | Nurse Practitioner | 5645 Newell St, Zachary, LA 70791 | 2019-02-22 |
| 1659867265 | American Oncology Partners, P.a. | Internal Medicine | 1673 E Mount Pleasant Rd Unit F102, Zachary, LA 70791 | 2018-07-06 |
| 1629574447 | Darren Keith Ryland | Massage Therapist | 5037 Main St, Suite B, Zachary, LA 70791 | 2018-04-02 |
| 1861913568 | Sylvia Simone Henderson | Case Manager/Care Coordinator | 8932 Highland Oaks Ave, Zachary, LA 70791 | 2017-07-03 |
| 1346770674 | Gaylian Anthony White | Counselor | 20051 Old Senic Hwy, Apt 2605, Zachary, LA 70791 | 2017-06-19 |
| 1104353218 | Jessica Rene Griffin | Counselor | 6676 Lakeridge Drive, Zachary, LA 70791 | 2017-05-19 |
| 1790218196 | Mark Matthews | Counselor | 1233 E Mount Pleasant Rd Apt 504, Zachary, LA 70791 | 2017-04-04 |
| Find all providers in zip 70791 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518393875 | Radiation Oncology Center - Zachary, LLC | Clinic/Center | 6180 Main St, Suite B, Zachary, LA 70791-4069 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619486453 | Baton Rouge General Medical Center | Clinic/Center | 3600 Florida Blvd, Baton Rouge, LA 70806 | 2017-09-25 |
| 1144277591 | Frank P Savoy Jr Cancer Center | Clinic/Center | 803 Poinciana Ave, Mamou, LA 70554-2201 | 2006-05-30 |
Please comment or provide details below to improve the information on RADIATION ONCOLOGY CENTER - ZACHARY.
| 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.