Healthcare Provider Details

I. General information

NPI: 1811940356
Provider Name (Legal Business Name): RADIATION ONCOLOGY OF CEDAR RAPIDS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 10TH ST SE
CEDAR RAPIDS IA
52403-1251
US

IV. Provider business mailing address

PO BOX 145
HIAWATHA IA
52233-0145
US

V. Phone/Fax

Practice location:
  • Phone: 319-398-6180
  • Fax: 319-398-6708
Mailing address:
  • Phone: 319-826-3763
  • Fax: 888-609-6019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier0446633
Identifier TypeMEDICAID
Identifier StateIA
Identifier Issuer

VIII. Authorized Official

Name: ALANNA STUART
Title or Position: BILLING MANAGER
Credential:
Phone: 319-826-3763