RADIATION ONCOLOGY ASSOCIATES, PLLC (NPI# 1790930311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790930311 |
| Entity Type | Organization |
| Organization Name | RADIATION ONCOLOGY ASSOCIATES, PLLC |
| Practice Address |
504 6th St Lewiston ID 83501-2439 |
| Mailing Address |
Po Box 1829 Coeur D Alene ID 83816-1829 |
| Practice Telephone | 2087995600 |
| Practice Fax Number | 2087995755 |
| Mailing Telephone | 2087995600 |
| Mailing Fax Number | 2087995755 |
| Enumeration Date | 2008-11-24 |
| Last Update Date | 2008-11-24 |
| Authorized Official Name | KENT W ANDERSON (OWNER) |
| Authorized Official Telephone | 2087995600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
ID | Allopathic & Osteopathic Physicians |
| Street Address |
504 6TH ST |
| City | LEWISTON |
| State | ID |
| Zip Code | 83501-2439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508854290 | Norman Robert Willis | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2005-10-07 |
| 1821106071 | Kent W Anderson | Radiology | 504 6th St, Department of Radiation Oncology, Lewiston, ID 83501-2439 | 2006-08-28 |
| 1750361259 | Mark B Hazuka | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
| 1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
| 1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
| 1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
| 1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
| 1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
| 1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
| 1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
| 1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
| 1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
| Find all providers in zip 83501 | ||||
| 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 |
|---|---|---|---|---|
| 1508854290 | Norman Robert Willis | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2005-10-07 |
| 1770768095 | Courtney Ann Jensen | Radiology | 300 Main St, Lewiston, ME 04240-7027 | 2008-01-05 |
| 1821106071 | Kent W Anderson | Radiology | 504 6th St, Department of Radiation Oncology, Lewiston, ID 83501-2439 | 2006-08-28 |
| 1235101825 | Michael W Brown | Radiology | 300 Main St, Lewiston, ME 04240-7027 | 2006-02-07 |
| 1750361259 | Mark B Hazuka | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972604510 | Steven Joseph Todd | Radiology | 500 S 11th Ave Ste 101, Pocatello, ID 83201-4877 | 2006-09-26 |
| 1477597045 | John E Gamboa | Radiology | 9357 W Emerald St, Boise, ID 83704-9752 | 2006-06-15 |
| 1629060256 | Gary Van Heuvelen | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2005-08-19 |
| 1982099412 | Corbin Daniel Jacobs | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2015-04-01 |
| 1447694922 | Daniel H. Miller | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2013-04-26 |
| 1144563370 | Christina T Gamboa | Radiology | 9357 W Emerald St, Boise, ID 83704 | 2013-04-06 |
| 1841587094 | Ryan James Bair | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2011-07-07 |
| 1831424365 | Aaron Eugene Wagner | Radiology | 700 W Ironwood Dr, Ste130, Coeur D Alene, ID 83814-2656 | 2009-10-16 |
| 1689714826 | Jennifer L. Robinson | Radiology | 500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 | 2007-02-07 |
| 1306941984 | Michael T. Callaghan M.d. & Associates, P.a. | Radiology | 500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
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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.