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COOS RADIOSURGERY GROUP LLC
NPI 1710480397
Radiology - Radiation Oncology in Coos Bay, OR

Active since March 09, 2018
1775 THOMPSON RD, COOS BAY, OR 97420(541) 269-8520 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 22, 2018, Mar 9, 2018 (2 updates tracked since 2018).

About Coos Radiosurgery Group Llc NPPES

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

COOS RADIOSURGERY GROUP LLC (NPI 1710480397) is a healthcare organization registered as a radiation oncology in Coos Bay, Oregon and active in the NPI registry since March 2018. The organization lists Brian G Fuller, Manager, as its authorized official.

NPPES Registry Identity

NPI1710480397
Entity TypeOrganization
Primary Taxonomy2085R0001X
Legal Business NameCOOS RADIOSURGERY GROUP LLC
Location Address1775 THOMPSON RDCoos Bay, OR 97420-2125
Mailing AddressPo Box 398974San Francisco, CA 94139-8974
Phone(541) 269-8520
Organization SubpartNo
Authorized OfficialBrian G FullerManager · (301) 529-7222
Enumeration DateMarch 9, 2018
Last NPPES UpdateMarch 22, 20182 updates tracked since enumeration
✔ NPI 1710480397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1775 THOMPSON RD, Coos Bay, OR 97420
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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 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.

ERIN DANIELSON
Pharmacist
1775 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 269-8111
AKHILA PAREPALLI
Physician Assistant
1775 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 269-8111
PATRICK BEAUREGARD VONDIPPE MD
Emergency Medicine
1775 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 269-8085
MRS. REGINA M ARDIANA FNPC
Nurse Practitioner (Family)
1775 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 269-8111
NANCY LEVENTOFF
Pharmacist (Oncology)
1775 THOMPSON RD
COOS BAY, OR 97420
Coos County (800) 859-3296
BAY AREA RADIATION ONCOLOGY PC
Radiology (Radiation Oncology)
1775 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 269-8520
CEP AMERICA LLC
Emergency Medicine
1775 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 269-8111
JINGZHE GAO DNP-CRNA
Nurse Anesthetist, Certified Registered
1775 THOMPSON RD
COOS BAY, OR 97420
Coos County (541) 269-8111

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 Coos Radiosurgery Group LLC's NPI number?

The NPI number for Coos Radiosurgery Group LLC is 1710480397. It was assigned to this organization in the NPPES registry on March 9, 2018.

Where is Coos Radiosurgery Group LLC located?

Coos Radiosurgery Group LLC is located at 1775 Thompson Rd, Coos Bay, OR 97420. The listed phone number is (541) 269-8520.

What is Coos Radiosurgery Group LLC'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 Coos Radiosurgery Group LLC was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.