SOUTH ATLANTIC RADIATION ONCOLOGY, LLC (NPI# 1467672873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467672873 |
| Entity Type | Organization |
| Organization Name | SOUTH ATLANTIC RADIATION ONCOLOGY, LLC |
| Practice Address |
545 Ocean Highway West Supply NC 28462 |
| Mailing Address |
Po Box 3245 Wilmington NC 28406-0245 |
| Practice Telephone | 9107544716 |
| Mailing Telephone | 9102511839 |
| Mailing Fax Number | 9102518286 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2017-06-21 |
| Authorized Official Name | DR. CHARLES ROGERS NEAL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9102511839 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 019PH | 01 |
| NC | 5908919 | 05 |
| Street Address |
545 OCEAN HIGHWAY WEST |
| City | SUPPLY |
| State | NC |
| Zip Code | 28462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558910943 | Lisa M Jock | Technician | 1276 Skipper Run Sw, Supply, NC 28462 | 2019-09-09 |
| 1023532686 | Novant Health Brunswick Endoscopy Center, LLC | Nurse Anesthetist, Certified Registered | 13 Medical Campus Drive, Suite 101, Supply, NC 28462 | 2017-07-26 |
| 1821510579 | Novant Health Brunswick Endoscopy Center, LLC | Clinic/Center | 13 Medical Campus Dr, Suite 101, Supply, NC 28462 | 2017-07-14 |
| 1831461920 | Reginald Lofton Hewett | Counselor | 1473 Cedar Grove Rd, Supply, NC 28462 | 2012-02-03 |
| 1760793343 | Coastal Hearing Centers, Inc | Clinic/Center | 2298 Ocean Hwy, Supply, NC 28462 | 2010-06-29 |
| 1083943567 | Lorell Sneeden Pait | Nurse Practitioner | 795 Ocean Highway West, Supply, NC 28462 | 2009-12-14 |
| 1043451321 | Well Care Home Care | Home Health | 118 Ocean Highway West, Supply, NC 28462 | 2009-03-16 |
| 1225177702 | Barbara C Bauer | Counselor | 1041 Old Ocean Highway, Supply, NC 28462 | 2007-02-05 |
| 1891852323 | Liberty Medical Specialties, Inc | Durable Medical Equipment & Medical Supplies | 1120 Ocean Hwy West, Supply, NC 28462 | 2007-01-03 |
| 1720014012 | Coastal Gastroenterology Pllc | Internal Medicine | 3 Medical Center Drive, Supply, NC 28462 | 2006-06-25 |
| Find all providers in zip 28462 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386926715 | University Radiation Therapy Center | Clinic/Center | 8800 N Tryon St, Charlotte, NC 28262-3300 | 2011-09-12 |
| 1093035628 | Onslow Radiation Oncology LLC | Clinic/Center | 317 Western Blvd, Jacksonville, NC 28546-6338 | 2010-06-05 |
| 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 |
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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.