Healthcare Provider Details

I. General information

NPI: 1275512535
Provider Name (Legal Business Name): HEARTLAND RADIATION ONCOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1701 E 23RD AVE
HUTCHINSON KS
67502-1105
US

IV. Provider business mailing address

1020A E BOAL AVE
BOALSBURG PA
16827-1509
US

V. Phone/Fax

Practice location:
  • Phone: 620-662-1212
  • Fax:
Mailing address:
  • Phone: 814-237-8627
  • Fax: 814-238-0083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. STEVEN D BRAUN
Title or Position: PRESIDENT
Credential: MD
Phone: 620-662-1212