RADIATION ONCOLOGY CENTERS OF THE CAROLINAS INC. NPI 1023055365

NPI Information

  • NPI: 1023055365
  • Provider Name: RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC.
  • Classification: Radiology - 2085R0001X
  • Specialization: Radiation Oncology
  • Entity Type: Organization
  • Doing Business As: LAKE NORMAN RADIATION ONCOLOGY CENTER
  • Address: 170 MEDICAL PARK RD
    SUITE 100
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 235-2580

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NPI Details

RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC. is a radiation oncology radiology in Mooresville, NC. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC. NPI is 1023055365. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lake Norman Radiation Oncology Center.

The provider's business location address is:

170 MEDICAL PARK RD
SUITE 100
MOORESVILLE, NC
ZIP 28117-521
Phone: (704) 235-2580
Fax: (704) 235-2599

The provider's authorized official is Candice Ann Barker .
The authorized official title is Credentialing Specialist and has the following contact phone number (704) 333-7376.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 12/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12324227AMEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAMEDICARE
25902249MEDICAIDNORTH CAROLINA
3GPO441MEDICAIDSOUTH CAROLINA
42572429OTHERUNITED HEALTHCARE
5017JPOTHERNORTH CAROLINABLUE CROSS

What is NPI?

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This page was last updated on: 3/30/2025

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