SOUTH COUNTY RADIATION THERAPY, LLC (NPI# 1841270303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841270303 |
Entity Type | Organization |
Organization Name | SOUTH COUNTY RADIATION THERAPY, LLC |
Practice Address |
142 Kenyon Ave Wakefield RI 02879-4216 |
Mailing Address |
2234 Colonial Blvd Fort Myers FL 33907-1412 |
Practice Telephone | 4012840850 |
Practice Fax Number | 4012840860 |
Mailing Telephone | 2399317342 |
Mailing Fax Number | 2399317385 |
Enumeration Date | 2006-01-20 |
Last Update Date | 2019-07-12 |
Authorized Official Name | KIM COMMINS (CEO) |
Authorized Official Telephone | 2399317275 |
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 |
---|---|---|---|
RI | 9004398 | 05 |
Street Address |
142 KENYON AVE |
City | WAKEFIELD |
State | RI |
Zip Code | 02879-4216 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891317509 | Silver Spring Health Care Management, Inc | Radiology | 142 Kenyon Ave, Wakefield, RI 02879-4216 | 2020-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831549435 | Bh Brightview Commons Opco, LLC | Alzheimer Center (Dementia Center) | 57 Grandeville Court, Wakefield, RI 02879 | 2016-06-15 |
1215392071 | Leslie Healy | Occupational Therapist | 12 Galleon Ct, Wakefield, RI 02879 | 2015-12-22 |
1649673799 | Peter Storti | Clinic/Center | 28 Columbia Street, Wakefield, RI 02879 | 2014-10-03 |
1285988790 | Silver Spring Health Care Management, Inc. | Physician Assistant | 70 Kenyon Ave Unit 321, Wakefield, RI 02879 | 2012-11-06 |
1013271584 | Amy Lee Barker | Speech-Language Pathologist | 213 Robinson Street, Wakefield, RI 02879 | 2012-06-29 |
1366708489 | Paige Houlihan | Student in an Organized Health Care Education/Training Program | 91 Rocky Brook Way St, Wakefield, RI 02879 | 2012-04-03 |
1639307176 | Perspectives Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 53 Dockray Street, Wakefield, RI 02879 | 2009-06-23 |
1649482233 | Marilyn A. Cooney | Speech-Language Pathologist | 307 Curtis Corner Road, Wakefield, RI 02879 | 2007-05-04 |
1518184522 | Keeley Therese Dante-card | Registered Nurse | 55 Cherry Lane, Wakefield, RI 02879 | 2007-04-19 |
1679799217 | Codac Inc | Peer Specialist | 350 Columbia St, Codac South County, Wakefield, RI 02879 | 2007-04-18 |
Find all providers in zip 02879 |
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 |
---|---|---|---|---|
1184605016 | Darlene Gabeau | Radiology | 142 Kenyon Avenue, Wakefield, RI 02879 | 2005-11-08 |
1891317509 | Silver Spring Health Care Management, Inc | Radiology | 142 Kenyon Ave, Wakefield, RI 02879-4216 | 2020-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629545652 | Brown Urology, Inc. | Radiology | 827 N Main St Ste 4, Providence, RI 02904-5751 | 2018-10-29 |
1750644662 | Esther Yu | Radiology | 593 Eddy St., R.i. Hospital Rad/onc Dept / Apc Basement, Providence, RI 02903 | 2012-06-18 |
1174510945 | Prakash B. Chougule | Radiology | 450 Toll Gate Rd, Warwick, RI 02886-2715 | 2005-10-05 |
1538162508 | Scott A. Triedman | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
1427525583 | Brown Urology, Inc. | Radiology | 2 Dudley St Ste 185, Providence, RI 02905-3247 | 2018-10-26 |
1336616499 | Brown Urology, Inc. | Radiology | 450 Veterans Memorial Pkwy Bldg 14, East Providence, RI 02914-5300 | 2018-10-26 |
1467973099 | Brown Urology, Inc. | Radiology | 195 Collyer St Ste 201, Providence, RI 02904-1869 | 2017-07-05 |
1598150708 | Chelsea Miller | Radiology | 110 Lockwood St, Providence, RI 02903-4801 | 2015-04-03 |
1821433053 | Paul P Koffer | Radiology | 593 Eddy St, Providence, RI 02903 | 2013-05-01 |
1821239260 | Tak-po Anthony Yu | Radiology | 238 Main St, Slatersville, RI 02876-0485 | 2009-03-16 |
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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.