RADIATION ONCOLOGY ASSOCIATES, PA (NPI# 1558839613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558839613 |
Entity Type | Organization |
Organization Name | RADIATION ONCOLOGY ASSOCIATES, PA |
Practice Address |
295 Varnum Ave Lowell MA 01854-2134 |
Mailing Address |
Po Box 689 Boalsburg PA 16827-0689 |
Practice Telephone | 9789376274 |
Practice Fax Number | 9789348190 |
Mailing Telephone | 8142378627 |
Mailing Fax Number | 8142380083 |
Enumeration Date | 2018-11-07 |
Last Update Date | 2018-11-07 |
Authorized Official Name | THOMAS SHELDON (PRESIDENT) |
Authorized Official Telephone | 6033730266 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 110071846A | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1 Essex Center Dr, Peabody, MA 019602901 | 9785384120 | 9785384702 |
41 Mall Rd, Burlington, MA 018050001 | 7817448780 | 7817441579 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033316849 | Radiation Oncology Associates, Pa | Clinic/Center | 149 North St, Waterville, ME 04901-4974 | 2007-06-27 |
1245260272 | Radiation Oncology Associates, Pa | Clinic/Center | 1 Elliot Way, Elliot Hospital - Radiation Oncology, Manchester, NH 03103-3502 | 2006-07-04 |
Street Address |
295 VARNUM AVE |
City | LOWELL |
State | MA |
Zip Code | 01854-2134 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215931597 | Jonas J Berman | Radiology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2005-06-02 |
1437758125 | Amy Marie Dellogono | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-22 |
1720686108 | Emily Rose Claude | Family Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-10-16 |
1265041305 | The Lowell General Hospital | Emergency Medical Technician, Paramedic | 295 Varnum Ave, Lowell, MA 01854-2134 | 2020-07-24 |
1639714744 | Shara A King | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-12 |
1861036451 | Obhg Massachusetts - Lowell PC | Emergency Medicine | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-11-06 |
1871147264 | Ronald Wilson Makarutsa | Registered Nurse | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-24 |
1780236786 | Andrea Jennifer Desmond | Nurse Practitioner | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-07-10 |
1235791831 | Nicole Nolan | Pharmacist | 295 Varnum Ave, Lowell, MA 01854-2193 | 2019-07-03 |
1578123253 | Alec Garabedian | Nurse Anesthetist, Certified Registered | 295 Varnum Ave, Lowell, MA 01854-2134 | 2019-06-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
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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 |
---|---|---|---|---|
1528026929 | Jeffrey D Goldstein | Radiology | 295 Vernon Ave, Lowell General Hospital, Lowell, MA 01851 | 2006-05-03 |
1477997914 | Vivek Laxmikant Patel | Radiology | 295 Varnum Ave, Lowell, MA 01854 | 2013-04-26 |
1598886897 | William P O'meara | Radiology | 295 Varnum Ave, Lowell, MA 01854-2134 | 2007-04-03 |
1518975655 | Radiation Oncology of Greater Lowell,pc | Radiology | 295 Varnum Ave, Cancer Center Lowell General Hospital, Lowell, MA 01854-2134 | 2006-08-04 |
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 |
1356654966 | Steward Good Samaritan Radiation Oncology Center, Inc. | Radiology | 818 Oak St, Brockton, MA 02301-1107 | 2010-07-23 |
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 |
1043492846 | South Surburban Oncology | Radiology | 55 Christy Dr, Brockton, MA 02301-1813 | 2007-12-04 |
1922211655 | Kathryn E. Huber | Radiology | 800 Washington St # 359, Tufts Medical Center, Department of Radiation Oncology, Boston, MA 02111-1552 | 2007-05-08 |
1437374121 | Andris Jason Zauls | Radiology | 818 Oak Street, Good Samaritan Radiation Oncology Center, Brockton, MA 02301 | 2007-04-16 |
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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.