Unknown Individual – Radiation Oncology Physician, NPI 1679549224
Radiation Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
9568 KINGS CHARTER DR STE 202
ASHLAND, VA 230057955
Phone: (804) 266-8717
Fax: (804) 266-5677
Type: Mailing
Innovation Park Drive, Annandale, Fairfax, Virginia, 22037, United States
FAIRFAX, VA 220314867
Phone: (571) 472-0606
Fax: (571) 472-0540
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 23005)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RADIATION ONCOLOGY | VA | 77427 | Radiation treatment management, 5 treatments | 22 | 20 |
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