{"npi":"1225274244","type":"NPI-2","status":"active","name":{"display":"Tri-State Radiation Oncology Centers LLC","other":[],"organization_name":"TRI-STATE RADIATION ONCOLOGY CENTERS LLC","authorised_official":"Joe Chang"},"specialty":{"primary_taxonomy":"261QX0203X","primary_taxonomy_description":"Radiation Oncology Clinic/Center","slug":"radiation-oncology-clinic-center","schema_org_specialty":null,"all":[{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":false,"state":null,"license":null},{"code":"2085R0202X","description":"Diagnostic Radiology","primary":false,"state":null,"license":null},{"code":"261QX0203X","description":"Radiation Oncology Clinic/Center","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"700 N BURKHARDT RD","city":"EVANSVILLE","state":"IN","postal_code":"477152740","country_code":"US","phone":"8124741110","fax":"8124741303"},{"purpose":"MAILING","street_1":"PO BOX 2084","city":"INDIANAPOLIS","state":"IN","postal_code":"462062084","country_code":"US","phone":"8003319294","fax":"8124719282"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"DP0313","state":"IN","issuer":"RR MEDICARE"},{"type_code":"05","label":"Medicaid","value":"200926120B","state":"IN","issuer":null},{"type_code":"05","label":"Medicaid","value":"200926120A","state":"IN","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20090212000084","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"IN","pac_id":"8628133394"}]},"enumeration_date":"2008-12-22","last_updated":"2009-10-01","_meta":{"source":"NPPES","snapshot_date":"2009-10-01","doc_url":"https://findmynpi.com/api"}}