{"npi":"1306338090","type":"NPI-2","status":"active","name":{"display":"Comprehensive Radiation Oncology, LLC","other":[],"organization_name":"COMPREHENSIVE RADIATION ONCOLOGY, LLC","authorised_official":"W. Tederick Johnson"},"specialty":{"primary_taxonomy":"2085R0001X","primary_taxonomy_description":"Radiation Oncology Physician","slug":"radiation-oncology-physician","schema_org_specialty":null,"all":[{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"4685 S CONGRESS AVE","city":"PALM SPRINGS","state":"FL","postal_code":"334614761","country_code":"US","phone":"5615482662","fax":"5615481633"},{"purpose":"MAILING","street_1":"2000 HEALTH PARK DR","city":"BRENTWOOD","state":"TN","postal_code":"370274525","country_code":"US","phone":"6153725426","fax":"8667008452"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20190221002678","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"FL","pac_id":"4688913494"}]},"enumeration_date":"2018-05-30","last_updated":"2021-06-14","_meta":{"source":"NPPES","snapshot_date":"2021-06-14","doc_url":"https://findmynpi.com/api"}}