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RADIATION ONCOLOGY OF WISCONSIN S C
NPI 1164691986
Radiology - Radiation Oncology in Mequon, WI

Active since February 26, 2008
13111 N PORT WASHINGTON RD, ATTN: RADIATION ONCOLOGY DEPT., MEQUON, WI 53097(262) 243-8384(920) 243-8385 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Radiation Oncology Of Wisconsin S C NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RADIATION ONCOLOGY OF WISCONSIN S C (NPI 1164691986) is a healthcare organization registered as a radiation oncology in Mequon, Wisconsin and active in the NPI registry since February 2008. The organization lists Carl E Olson, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164691986
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameRADIATION ONCOLOGY OF WISCONSIN S C
Location Address13111 N PORT WASHINGTON RD, ATTN: RADIATION ONCOLOGY DEPT.Mequon, WI 53097-2416
Mailing AddressPo Box 1127Sheboygan, WI 53082-1127 · (920) 457-6750 · Fax (920) 457-8350
Phone(262) 243-8384
Fax(920) 243-8385
Organization SubpartNo
Authorized OfficialCarl E OlsonMedical Director · (414) 291-1556
Enumeration DateFebruary 26, 2008
Last NPPES UpdateApril 20, 2008
✔ NPI 1164691986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X
13111 N PORT WASHINGTON RD, Mequon, WI 53097
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Other Identifiers 4

Medicaid32896900WI
Other=========010WI · Blue Cross & Blue Shield
Medicare PIN46295WI
OtherCJ6385WI · Travelers Rr Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOU ANN CAMPBELL-PETERSON OTR,CHT
Occupational Therapist (Hand)
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
MRS. CATHERINE ANN STOLZ OTR
Occupational Therapist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
MS. AMY LYNN LAUBENSTEIN MOTR
Occupational Therapist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
LORI L. KESSENICH P.T.
Physical Therapist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
AMY KATHLEEN GAUGER PT
Physical Therapist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7465
IRENE B HUGHEY PT
Physical Therapist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444
MS. KATHY RIDER
Occupational Therapy Assistant
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7465
ERIC MCNALLY
Physical Therapist
13111 N PORT WASHINGTON RD
MEQUON, WI 53097
Ozaukee County (262) 243-7444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Radiation Oncology Of Wisconsin S C's NPI number?

The NPI number for Radiation Oncology Of Wisconsin S C is 1164691986. It was assigned to this organization in the NPPES registry on February 26, 2008.

Where is Radiation Oncology Of Wisconsin S C located?

Radiation Oncology Of Wisconsin S C is located at 13111 N Port Washington Rd Attn: Radiation Oncology Dept., Mequon, WI 53097. The listed phone number is (262) 243-8384.

What is Radiation Oncology Of Wisconsin S C's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

When was this NPI record last updated?

The NPPES record for Radiation Oncology Of Wisconsin S C was last updated on April 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.