NORTHERN ARIZONA RADIATION ONCOLOGY – NPI #1336120963
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.

NORTHERN ARIZONA RADIATION ONCOLOGY is a radiologist located in FLAGSTAFF, AZ. NPPES has assigned the NPI number 1336120963 to NORTHERN ARIZONA RADIATION ONCOLOGY on November 10, 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 15 years ago on Aug 23, 2011. 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 NORTHERN ARIZONA RADIATION ONCOLOGY below.

NPI Profile for
NORTHERN ARIZONA RADIATION ONCOLOGY

NPI Number
1336120963
Enumeration Date

(more than 20 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
NORTHERN ARIZONA RADIATION ONCOLOGY
Primary location
1200 N. BEAVER STREET
CANCER CENTER OF NORTHERN ARIZONA
FLAGSTAFF, AZ 86001
Phone: (928) 773-2261 Fax:
Mailing address
PO BOX 749560
LOS ANGELES, CA 90074-9560
Phone: (770) 693-2622 Fax: (770) 693-6039
Organization Subpart
No
Authorized Official
ANDREW DAVID
PRESIDENT
Phone: (928) 204-4160
Updated
Identifiers

Identifiers for NORTHERN ARIZONA RADIATION ONCOLOGY

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
OTHERRR MEDICAREAZDC8937
MEDICAIDAZ109498
MEDICAIDAZ0010949804
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.