GRAND RAPIDS RADIATION ONCOLOGY PC – NPI #1679614424
Radiology

GRAND RAPIDS RADIATION ONCOLOGY PC is a radiologist located in GRAND RAPIDS, MI. NPPES has assigned the NPI number 1679614424 to GRAND RAPIDS RADIATION ONCOLOGY PC on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0203X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 19 years ago on Jul 12, 2007. 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 GRAND RAPIDS RADIATION ONCOLOGY PC below.

NPI Profile for
GRAND RAPIDS RADIATION ONCOLOGY PC

NPI Number
1679614424
Enumeration Date

(more than 19 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
GRAND RAPIDS RADIATION ONCOLOGY PC
Primary location
250 CHERRY
GRAND RAPIDS, MI 49503
Phone: (616) 752-6218 Fax: (616) 774-8960
Mailing address
6935 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone: (616) 897-0995 Fax: (616) 897-0986
Organization Subpart
No
Authorized Official
JAMES KANE
PRESIDENT
Phone: (616) 897-0995
Updated
Identifiers

Identifiers for GRAND RAPIDS RADIATION ONCOLOGY PC

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
OTHERBCBSMMI0D11351
OTHERCHPMI1005578
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
2085R0203X
- Radiology / Radiation Oncology (Primary)		 MI

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.