STEWARD GOOD SAMARITAN RADIATION ONCOLOGY CENTER, INC. (NPI# 1356654966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356654966 |
Entity Type | Organization |
Organization Name | STEWARD GOOD SAMARITAN RADIATION ONCOLOGY CENTER, INC. |
Practice Address |
818 Oak St Brockton MA 02301-1107 |
Practice Telephone | 5084272900 |
Practice Fax Number | 6175627241 |
Mailing Telephone | 5084272900 |
Mailing Fax Number | 6175627241 |
Enumeration Date | 2010-07-23 |
Last Update Date | 2010-07-23 |
Authorized Official Name | MARK J RICH (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 6177892706 |
Is Organization Subpart | Y |
Parent Organization Name | STEWARD HEALTH CARE SYSTEM LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
Street Address |
818 OAK ST |
City | BROCKTON |
State | MA |
Zip Code | 02301-1107 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861903395 | Jan Amorello | Nurse Practitioner | 818 Oak St, Brockton, MA 02301-1107 | 2017-10-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942807110 | Jenny Vulpis | Recreation Therapist | 940 Belmont St (br 135), Brockton, MA 02301 | 2020-10-01 |
1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
1013546852 | Nuria Dos Santos Veiga | Occupational Therapist | 73 Denton St, Brockton, MA 02301 | 2020-04-03 |
1679113930 | Laura Ann Brondyk II | Counselor | 10 Christys Dr, Brockton, MA 02301 | 2020-01-14 |
1437796521 | Andrea Lopes | Developmental Therapist | 7 Goddard Road, Brockton, MA 02301 | 2019-12-08 |
1518420124 | Diligencehealthcare | Psychiatry & Neurology | 30-40 Westpark Street, Brockton, MA 02301 | 2019-04-10 |
1124530373 | Rachel Theys | Behavioral Analyst | 130 Liberty St Ste 13a, Brockton, MA 02301 | 2017-10-27 |
1689193369 | Anderson D Delgado | Behavior Technician | 11 Packard Way, Brockton, MA 02301 | 2017-09-14 |
1811415326 | Francesca Lavecchia | Clinical Neuropsychologist | Brockto Area Multi Service, Inc. 10 Christy Dr., Brockton, MA 02301 | 2017-09-05 |
1831615343 | Donna Marie Dugan | Counselor | South Bay Community Services, 340 Main Street - Suite 818, Worcester, MA 02301 | 2017-08-16 |
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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 |
---|---|---|---|---|
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 |
1205145398 | Ahmed Aziz Chaudhary | Radiology | 680 Centre St, Brockton, MA 02302-3308 | 2010-10-06 |
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.