Unknown Individual – Medical Oncology Physician, NPI 1023014115
Medical Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
26, Bay Laurel Court, Scotts Valley, Santa Cruz County, California, 95066, United States
SCOTTS VALLEY, CA 950663972
Phone: (831) 438-4707
Type: Mailing
Jackson Street, Shakopee, Scott County, Minnesota, 55379, United States
SHAKOPEE, MN 553792042
Phone: (831) 438-4707
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95066)
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