NORTHWEST CANCER CLINIC, LLC (NPI# 1558638163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558638163 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CANCER CLINIC, LLC |
| Other Organization Name | NORTHWEST CANCER CLINIC |
| Practice Address |
7379 W Deschutes Ave Kennewick WA 99336-7900 |
| Mailing Address |
7379 W Deschutes Ave Ste 100 Kennewick WA 99336-7900 |
| Practice Telephone | 5099871800 |
| Practice Fax Number | 5099871808 |
| Mailing Telephone | 5099871800 |
| Mailing Fax Number | 5099871808 |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2013-11-20 |
| Authorized Official Name | DR. SHEILA REGE (MEMBER) |
| Authorized Official Telephone | 5099871800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
603 042 491 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| NORTHWEST CANCER CLINIC | Doing Business As Name - Organization |
| Street Address |
7379 W DESCHUTES AVE |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003890336 | Sheila D Rege | Radiology | 7379 W Deschutes Ave, Ste 100, Kennewick, WA 99336-7900 | 2005-11-30 |
| 1164810545 | Northwest Cancer Care Associates PC | Radiology | 7379 W Deschutes Ave, Suite 100, Kennewick, WA 99336-7900 | 2015-01-07 |
| 1104896794 | Brian Douglas Lawenda | Radiology | 7379 W Deschutes Ave, Suite 100, Kennewick, WA 99336-7900 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| 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 |
|---|---|---|---|---|
| 1841603479 | Sherry Zhao | Radiology | 7350 W Deschutes Ave Ste A, Kennewick, WA 99336 | 2014-06-11 |
| 1184736340 | Oncology Group Pllc | Radiology | 7350 W Deschutes, Building A, Kennewick, WA 99336 | 2006-08-31 |
| 1053399568 | Peter K Sien | Radiology | 7379 W Deschutes Ave Ste 100, Kennewick, WA 99336-7900 | 2006-01-04 |
| 1912981135 | Richard J Giever Jr. | Radiology | 7350 W Deschutes Ave, Builing A, Kennewick, WA 99336-7802 | 2005-12-01 |
| 1003890336 | Sheila D Rege | Radiology | 7379 W Deschutes Ave, Ste 100, Kennewick, WA 99336-7900 | 2005-11-30 |
| 1164810545 | Northwest Cancer Care Associates PC | Radiology | 7379 W Deschutes Ave, Suite 100, Kennewick, WA 99336-7900 | 2015-01-07 |
| 1073824900 | Guy Cleage Jones | Radiology | 7350 W Deschutes Ave, Bldg A, Kennewick, WA 99336-7802 | 2010-06-25 |
| 1700099439 | Juno Choe | Radiology | 7350 W Deschutes Ave, Kennewick, WA 99336-7802 | 2007-05-08 |
| 1578668406 | Sue A Mandell | Radiology | 7350 W Deschutes Ave, Bldg A, Kennewick, WA 99336-7802 | 2006-09-14 |
| 1104896794 | Brian Douglas Lawenda | Radiology | 7379 W Deschutes Ave, Suite 100, Kennewick, WA 99336-7900 | 2006-01-25 |
| Find all providers in KENNEWICK | ||||
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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.