COOS RADIOSURGERY GROUP LLC – NPI #1710480397
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.

COOS RADIOSURGERY GROUP LLC is a radiologist located in COOS BAY, OR. NPPES has assigned the NPI number 1710480397 to COOS RADIOSURGERY GROUP LLC on March 09, 2018. 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 Mar 22, 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 COOS RADIOSURGERY GROUP LLC below.

NPI Profile for
COOS RADIOSURGERY GROUP LLC

NPI Number
1710480397
Enumeration Date

(more than 8 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
COOS RADIOSURGERY GROUP LLC
Primary location
1775 THOMPSON RD
COOS BAY, OR 97420-2125
Phone: (541) 269-8520 Fax:
Mailing address
PO BOX 398974
SAN FRANCISCO, CA 94139-8974
Phone: Fax:
Organization Subpart
No
Authorized Official
BRIAN FULLER
MANAGER
Phone: (301) 529-7222
Updated
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.