GEORGETOWN RADIATION THERAPY CENTER – NPI #1053304675
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

GEORGETOWN RADIATION THERAPY CENTER is a radiologist located in GEORGETOWN, SC. NPPES has assigned the NPI number 1053304675 to GEORGETOWN RADIATION THERAPY CENTER on August 30, 2005. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 8 years ago on Nov 05, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GEORGETOWN RADIATION THERAPY CENTER below.

NPI Profile for
GEORGETOWN RADIATION THERAPY CENTER

NPI Number
1053304675
Enumeration Date

(about 21 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GEORGETOWN RADIATION THERAPY CENTER
Primary location
2405 N FRASER ST
GEORGETOWN, SC 29440-6410
Phone: (843) 545-5600 Fax:
Mailing address
PO DRAWER 1718
GEORGETOWN, SC 29442-1718
Phone: Fax:
Organization Subpart
No
Authorized Official
ELIZABETH WARD
EXECUTIVE VICE PRESIDENT/CHIEF FINA
Phone: (843) 527-7102
Updated
Identifiers

Identifiers for GEORGETOWN RADIATION THERAPY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDSCEA212264
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.