DR. AHMED AZIZ CHAUDHARY (NPI# 1205145398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205145398 |
| Entity Type | Individual |
| Full Name | DR. AHMED AZIZ CHAUDHARY |
| Credential | M.D. |
| Practice Address |
680 Centre St Brockton MA 02302-3308 |
| Mailing Address |
Po Box 1962 Brattleboro VT 05302-1962 |
| Practice Telephone | 5089417450 |
| Mailing Telephone | 8609722803 |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD15012 | RI | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
66738 | CT | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | AC12051 | 05 | |
| MA | 110105605A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801141957 | Ahmed Jamal Chaudhary | Internal Medicine | 1825 Logan Ave Ste 201, Waterloo, IA 50703-1916 | 2012-07-16 |
| Street Address |
680 CENTRE ST |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176910 | Marcia Waitzman | Obstetrics & Gynecology | 680 Centre St, Brockton, MA 02302-3308 | 2005-07-01 |
| 1770196396 | Samantha Lipsky | Physician Assistant | 680 Centre St, Brockton, MA 02302-3308 | 2020-08-24 |
| 1760009328 | Mandi Ella Clegg | Social Worker | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-30 |
| 1972128643 | Matthew Hall Wilson | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
| 1679198493 | Alyssa Dicosmo | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-09 |
| 1720603566 | Tessie Allan | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| 1588289375 | Collin Rozanski | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| 1619592417 | Balaji Arun Jothishankar | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| 1013532845 | Angell Shi | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
| 1386269124 | Rebecca Yanovsky | Student in an Organized Health Care Education/Training Program | 680 Centre St, Brockton, MA 02302-3308 | 2020-06-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356654966 | Steward Good Samaritan Radiation Oncology Center, Inc. | Radiology | 818 Oak St, Brockton, MA 02301-1107 | 2010-07-23 |
| 1043492846 | South Surburban Oncology | Radiology | 55 Christy Dr, Brockton, MA 02301-1813 | 2007-12-04 |
| 1437374121 | Andris Jason Zauls | Radiology | 818 Oak Street, Good Samaritan Radiation Oncology Center, Brockton, MA 02301 | 2007-04-16 |
| 1225202831 | Mass Oncology, P.C. | Radiology | 235 N Pearl St, Brockton, MA 02301-1794 | 2008-04-15 |
| 1639342595 | Brockton Radiation Oncology | Radiology | 680 Centre St, Brockton, MA 02302-3308 | 2008-04-10 |
| 1649452442 | Radiation Therpay of Winchester | Radiology | 55 Christy Dr, Brockton, MA 02301-1813 | 2007-12-04 |
| 1346235256 | Steven Lane | Radiology | 680 Centre St, Brockton, MA 02302-3308 | 2005-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710385844 | Cherry T. Thomas | Radiology | 28 York Rd, Winchester, MA 01890-3855 | 2014-12-05 |
| 1528488269 | Erik Steven Anderson | Radiology | 330 Brookline Ave # Fnb-25, Boston, MA 02215-5491 | 2014-04-21 |
| 1336389634 | Central Massachusetts Comprehensive Cancer Center, LLC | Radiology | 55 Sayles Street, Southbridge, MA 01550 | 2009-02-26 |
| 1235389883 | Northampton Radiation Oncology, LLC | Radiology | 30 Locust Street, Cooley Dickinson Hospital, Northampton Radiation Oncology, LLC, Northampton, MA 01060 | 2008-09-19 |
| 1346498789 | Klaudia Hunter | Radiology | Lahey Clinic Dept of Radiation Oncology, 41 Mall Rd, Burlington, MA 01805-0001 | 2008-08-27 |
| 1295994978 | Jonathan Daniel Schoenfeld | Radiology | 450 Brookline Ave # Dal2-57, Department of Radiation Oncology, Boston, MA 02215-5418 | 2008-06-06 |
| 1922211655 | Kathryn E. Huber | Radiology | 800 Washington St # 359, Tufts Medical Center, Department of Radiation Oncology, Boston, MA 02111-1552 | 2007-05-08 |
| 1538210539 | Sharon Rhoda Galper | Radiology | 186 Gardner Rd, Brookline, MA 02445-4560 | 2007-01-16 |
| 1972674588 | Rinaa S Punglia | Radiology | 44 Binney St Dana Farber Cancer Institute, Ctr for Outcomes and Polic Research, Boston, MA 02115 | 2006-11-13 |
| 1760584130 | Derek Barrett Chism | Radiology | 17 Centennial Dr Radiation Oncology, Peabody, MA 01960 | 2006-09-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.