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PHOENIX ONCOLOGY LOST PINES PLLC
NPI 1558795161
Radiology - Radiation Oncology in Bastrop, TX

Active since August 30, 2013
3107 HIGHWAY 71 E, BASTROP, TX 78602(512) 303-5100(512) 303-5106 Get Directions Write a Review

NPPES record last updated: August 30, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Phoenix Oncology Lost Pines Pllc NPPES

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

PHOENIX ONCOLOGY LOST PINES PLLC (NPI 1558795161) is a healthcare organization registered as a radiation oncology in Bastrop, Texas and active in the NPI registry since August 2013. The organization lists Jimmy Michael Kerley, Owner, as its authorized official.

NPPES Registry Identity

NPI1558795161
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NamePHOENIX ONCOLOGY LOST PINES PLLC
Location Address3107 HIGHWAY 71 EBastrop, TX 78602-5158
Mailing Address3107 Highway 71 EBastrop, TX 78602-5158 · (512) 303-5100 · Fax (512) 303-5106
Phone(512) 303-5100
Fax(512) 303-5106
Organization SubpartNo
Authorized OfficialJimmy Michael KerleyOwner · (512) 303-5100
Enumeration DateAugust 30, 2013
✔ NPI 1558795161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License✔ Licensed in TX · G3515
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.
3107 HIGHWAY 71 E, Bastrop, TX 78602
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

SARAH CERVANTES RN, FNP-C
Nurse Practitioner (Family)
3107 HIGHWAY 71 E
BASTROP, TX 78602
Bastrop County (512) 308-9024
DR. MATHEW ROBERT MEENEGHAN M.D.
Internal Medicine (Hematology & Oncology)
3107 HIGHWAY 71 E
BASTROP, TX 78602
Bastrop County (512) 308-9024
BARTLOMIEJ POSNIK M.D.
Internal Medicine (Hematology & Oncology)
3107 HIGHWAY 71 E
BASTROP, TX 78602
Bastrop County (512) 308-9024
SYDNEY NICOLE DUNN-VALADEZ
Internal Medicine (Hematology & Oncology)
3107 HIGHWAY 71 E
BASTROP, TX 78602
Bastrop County (512) 308-9024

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 Phoenix Oncology Lost Pines PLLC's NPI number?

The NPI number for Phoenix Oncology Lost Pines PLLC is 1558795161. It was assigned to this organization in the NPPES registry on August 30, 2013.

Where is Phoenix Oncology Lost Pines PLLC located?

Phoenix Oncology Lost Pines PLLC is located at 3107 Highway 71 E, Bastrop, TX 78602. The listed phone number is (512) 303-5100.

What is Phoenix Oncology Lost Pines PLLC'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 Phoenix Oncology Lost Pines PLLC was last updated on August 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.