DEREK BARRETT CHISM (NPI# 1760584130) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760584130 |
| Entity Type | Individual |
| Full Name | DEREK BARRETT CHISM |
| Credential | MD |
| Practice Address |
17 Centennial Dr Radiation Oncology Peabody MA 01960 |
| Mailing Address |
North Shore Health Systems 81 Highland Ave Salem MA 01970 |
| Practice Telephone | 9789779400 |
| Practice Fax Number | 9785380341 |
| Mailing Telephone | 9783544173 |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
220136 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
17 CENTENNIAL DR RADIATION ONCOLOGY |
| City | PEABODY |
| State | MA |
| Zip Code | 01960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020321 | Kathleen Marie Cliffe | Nurse Practitioner | 15 Sandra Rd, Peabody, MA 01960 | 2020-07-10 |
| 1801398102 | Janis Melanson | Counselor | Higgins Middle School, 85 Perkins Street, Peabody, MA 01960 | 2018-03-02 |
| 1679082036 | Kelsey Ann Lima | Social Worker | 9 Centennial Drive, Suite 202, Peabody, MA 01960 | 2017-09-28 |
| 1609394485 | Victoria Jade Olechowski | Specialist/Technologist | 1002 Crane Brook Way, Peabody, MA 01960 | 2017-08-31 |
| 1841715711 | Alexandra Lee Chasse | Counselor | 9 Cenntenial Drive, Suit 202, Peabody, MA 01960 | 2017-08-11 |
| 1275982936 | Miguel A Roque | Dentist | 6 Essex Center Drive Suite 110, Peabody, MA 01960 | 2016-06-03 |
| 1528412061 | Kabamedicalcorporation | Durable Medical Equipment & Medical Supplies | 484lowell Street, Peabody, MA 01960 | 2016-04-21 |
| 1437510815 | Ana Tereza T. Wescott | Dentist | 89 Foster Street, Peabody Family Health Center, Peabody, MA 01960 | 2016-03-14 |
| 1225496474 | Ashley Motta | Counselor | 24 Jennifer Lane, Peabody, MA 01960 | 2016-02-03 |
| 1578942645 | Cerebral Palsy of Eastern Mass Incorporated | Early Intervention Provider Agency | 6 Stratis Way, Peabody, MA 01960 | 2015-05-22 |
| Find all providers in zip 01960 | ||||
| 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 |
|---|---|---|---|---|
| 1225130685 | Eric T Weber | Radiology | 17 Centennial Dr Radiation Onecology, Peabody, MA 01960 | 2006-09-05 |
| 1134223498 | Songja C Choe | Radiology | 17 Centennial Dr, Radiation Oncology, Peabody, MA 01960 | 2006-09-08 |
| 1851493225 | Anthony J Piro | Radiology | 17 Centennial Dr, Radiation Oncology, Peabody, MA 01960 | 2006-09-05 |
| 1376651844 | Walter Friedrich Sall | Radiology | 17 Centennial Dr, Peabody, MA 01960 | 2006-08-26 |
| 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 |
| 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.