Provider Demographics
NPI:1093774788
Name:RADIATION ONCOLOGISTS PC
Entity Type:Organization
Organization Name:RADIATION ONCOLOGISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:DEER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-749-3600
Mailing Address - Street 1:330 ARKANSAS ST
Mailing Address - Street 2:SUITE 120
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1335
Mailing Address - Country:US
Mailing Address - Phone:785-749-3600
Mailing Address - Fax:785-749-3621
Practice Address - Street 1:330 ARKANSAS ST
Practice Address - Street 2:SUITE 120
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1335
Practice Address - Country:US
Practice Address - Phone:785-749-3600
Practice Address - Fax:785-749-3621
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-21
Last Update Date:2008-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0414419174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO502177207Medicaid
KS74217OtherBSKS GROUP NUMBER
KS2053468301Medicaid
CP8340OtherMEDICARE RAILROAD
MO10353015OtherBSKC GROUP NUMBER
KSE58784Medicare UPIN
KSA36187Medicare UPIN
KS2053468301Medicaid