RADIATION ONCOLOGY PHYSICIANS OF CONNECTICUT, LLC (NPI# 1346665346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346665346 |
| Entity Type | Organization |
| Organization Name | RADIATION ONCOLOGY PHYSICIANS OF CONNECTICUT, LLC |
| Practice Address |
326 Washington St Norwich CT 06360-2740 |
| Mailing Address |
Po Box 778 15 Enford Street Avon CT 06001-0778 |
| Practice Telephone | 8608898331 |
| Mailing Telephone | 8604021090 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | DR. SUSAN Y KIM (MD/AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8604021090 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | RADIATION ONCOLOGY PHYSICIANS OF CONNECTICUT, LLC | 231 Root Road, Coventry, CT 06238 |
| Street Address |
326 WASHINGTON ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811992076 | Lisa Ann White | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2005-06-15 |
| 1942818380 | Janankia Andrea Thomas | Counselor | 326 Washington St, Norwich, CT 06360-2740 | 2020-07-22 |
| 1306467170 | Hannah Perna | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2020-05-02 |
| 1851920540 | Nicole Patricia Golden | Registered Nurse | 326 Washington St, Norwich, CT 06360-2740 | 2020-04-04 |
| 1154955854 | Brynne E Radel | Nurse Anesthetist, Certified Registered | 326 Washington St, Norwich, CT 06360-2740 | 2020-03-03 |
| 1801359955 | James Dreier | Nurse Anesthetist, Certified Registered | 326 Washington St, Norwich, CT 06360-2740 | 2019-04-07 |
| 1346715349 | Aldo Mauricio Velasquez | Physician Assistant | 326 Washington St, Norwich, CT 06360 | 2018-10-05 |
| 1073092557 | Devin Stanton | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2018-08-07 |
| 1699260737 | Kevin Connolly | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2018-06-29 |
| 1275034456 | Lori A Desbonnet | Social Worker | 326 Washington St, Norwich, CT 06360-2740 | 2018-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
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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 |
|---|---|---|---|---|
| 1154319150 | Sheida Mani | Radiology | 326 Washington Street, Norwich, CT 06360-2740 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639565948 | David Gasalberti | Radiology | 243 Steele Rd Apt 314, West Hartford, CT 06117-1725 | 2015-04-13 |
| 1194136713 | Krishan Ratilal Jethwa | Radiology | 35 Park St Ste Ll507, New Haven, CT 06519 | 2014-05-16 |
| 1407173115 | William J Aberizk Jr. | Radiology | 166 Ledgewood Rd, Apt 108, Groton, CT 06340-6614 | 2010-04-21 |
| 1326206855 | Ranjit S Bindra | Radiology | 20 York Street, Smilow Cancer Hospital, Yale New Haven, Lower Level, New Haven, CT 06510 | 2008-05-31 |
| 1760640643 | Douglas Michael Housman | Radiology | 25 Newell Road, Suite C11, Bristol, CT 06010-5100 | 2008-05-28 |
| 1306020474 | James Byunghoon Yu | Radiology | 20 York St, T-209, Yale - New Haven Hospital, New Haven, CT 06510 | 2007-12-24 |
| 1417150004 | Ann C Cea | Radiology | 244 Byram Shore Rd, Greenwich, CT 06830-6932 | 2007-06-09 |
| 1750400644 | Suzanne Buckley Evans | Radiology | 865 Montauk Ave, Cancer Center, New London, CT 06320 | 2007-03-29 |
| 1912084419 | Sean W. Dowling | Radiology | 34 Shelburne Rd, Radiation Oncology, Stamford, CT 06902-3628 | 2006-11-01 |
| 1427163815 | Allen B Silberstein | Radiology | 536 Saybrook Road, Middlesex Hospital Cancer Center, Middletown, CT 06457 | 2006-08-19 |
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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.