EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A. (NPI# 1386832129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386832129 |
| Entity Type | Organization |
| Organization Name | EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A. |
| Practice Address |
509 Idlewild Ave Easton MD 21601 |
| Mailing Address |
509 Idlewild Ave Easton MD 21601-3889 |
| Practice Telephone | 4108206411 |
| Practice Fax Number | 4108204229 |
| Mailing Telephone | 4108206411 |
| Mailing Fax Number | 4108204229 |
| Enumeration Date | 2007-10-05 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | DR. JOHN PHILIP MASTANDREA (PRESIDENT) |
| Authorized Official Telephone | 4108206411 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
D0036644 | MD | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 088861300 | 05 |
| Street Address |
509 IDLEWILD AVE |
| City | EASTON |
| State | MD |
| Zip Code | 21601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518999697 | John Philip Mastandrea | Radiology | 509 Idlewild Ave, Easton, MD 21601-3825 | 2006-07-07 |
| 1831553585 | Margaret Michele Williams | Nurse Practitioner | 509 Idlewild Ave, Easton, MD 21601-3889 | 2016-04-08 |
| 1710283569 | Shore Health System, Inc | Clinic/Center | 509 Idlewild Ave, Easton, MD 21601-3889 | 2011-01-26 |
| 1134245004 | Eastern Shore Oncology PC | Internal Medicine | 509 Idlewild Ave, Suite 101, Easton, MD 21601-3889 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588205215 | Jodi Windsor Kindt | Nurse Practitioner | Aamg Talbot Primary Care, 28438 Marlboro Avenue, Easton, MD 21601 | 2019-10-03 |
| 1902466998 | Christina Deleon | Physician Assistant | 403 Marvel Court, Easton, MD 21601 | 2019-06-20 |
| 1710458583 | Patricia Vilani | Occupational Therapy Assistant | 12 Magnolia, Easton, MD 21601 | 2018-12-05 |
| 1538687702 | Kristin Dabbs Wilkerson | Counselor | 29520 Canvasback Drive, Easton, MD 21601 | 2017-09-07 |
| 1356869978 | Angela Lynn Rutherford | Physical Therapy Assistant | 610 Dutchman's Ln, Easton, MD 21601 | 2017-09-04 |
| 1851842389 | Myeyedr Optometry of Maryland, LLC | Optometrist | 28522 Marlboro Ave, Ste A, Easton, MD 21601 | 2016-10-19 |
| 1659721991 | Lauren Strady | Pediatrics | 500 Cadmus Ln Ste 210, Easton, MD 21601 | 2016-06-17 |
| 1194174391 | Statcare Group IIi, PC | Clinic/Center | 28522-c Marlboro Avenue, Easton, MD 21601 | 2016-06-08 |
| 1245684224 | Christina M Ball | Nurse Practitioner | 545 Cynwood Drive, Easton, MD 21601 | 2016-04-15 |
| 1205220274 | Rebecca Ann Ruby Ailstock | Midwife | 508 Idlewild Ave Ste 3, Easton, MD 21601 | 2015-03-26 |
| Find all providers in zip 21601 | ||||
| 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 |
|---|---|---|---|---|
| 1518999697 | John Philip Mastandrea | Radiology | 509 Idlewild Ave, Easton, MD 21601-3825 | 2006-07-07 |
| 1376939017 | Emily Shea Kowalski | Radiology | 219 S Washington St, Easton, MD 21601-2913 | 2015-04-09 |
| 1477715407 | David Leonard Andolino | Radiology | 1600 Riverside Cir, Radiation Oncology, Easton, PA 18045-5671 | 2008-07-01 |
| 1578675112 | Michael J Pereira | Radiology | 250 S 21st St, Easton, PA 18042-3851 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130454 | Capital Radiosurgery Centers LLC | Radiology | 3730 Commerce Dr Ste 12141217, Baltimore, MD 21227-1654 | 2020-09-30 |
| 1538546262 | Skin Cancer Eb, LLC | Radiology | 300 Redland Ct, Suite 101, Owings Mills, MD 21117-3271 | 2015-05-01 |
| 1619364734 | Sarah Zuckoff Hazell | Radiology | 401 N Broadway St Rm 1440, Baltimore, MD 21287-0019 | 2015-04-16 |
| 1265851323 | Matthew Jeffrey Ferris | Radiology | Kaufman Cancer Center, Department of Radiation Oncology, 500 Upper Chesapeake Dr., Bel Air, MD 21014 | 2014-04-15 |
| 1548608334 | Rajal Patel | Radiology | 2121 Medical Park Dr Ste 4, Silver Spring, MD 20902 | 2013-06-13 |
| 1326380486 | Kaveh Zakeri | Radiology | 30077 Business Center Dr, Charlotte Hall, MD 20622 | 2013-03-26 |
| 1528319209 | Andra Valentina Krauze | Radiology | Nih Radiation Oncology Branch 10 Center Dr, Msc 1682 Building 10crc Room B2-3665, Bethesda, MD 20892-0001 | 2012-09-21 |
| 1043586142 | Matthew Jacob Boyer | Radiology | 6701 N. Charles St, Gbmc Radiation Oncology, Towson, MD 21204 | 2012-03-22 |
| 1336458942 | Amar Rewari | Radiology | 20330 Seneca Meadows Pkwy, Germantown, MD 20876-7004 | 2010-09-30 |
| 1336451921 | Pranshu Mohindra | Radiology | 22 S Greene Street Gudelsky Basement, University of Maryland Medical Center, Baltimore, MD 21201-1544 | 2010-07-12 |
| Find all providers with the same taxonomy | ||||
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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.