Unknown Individual – Radiation Oncology Physician, NPI 1144220260
Radiation Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Ice Box, Omaha Boulevard, El Paso County, Colorado, 80915, United States
OMAHA, NE 681540158
Phone:
Type: Mailing
Methodist Jennie Edmundson Hospital, 933, East Pierce Street, Council Bluffs, Pottawattamie County, Iowa, 51503, United States
COUNCIL BLUFFS, IA 515034626
Phone: (712) 396-4429
Fax: (712) 396-7644
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
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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 68154)
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