DR. KATHY RADIE KEANE (NPI# 1912900879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912900879 |
| Entity Type | Individual |
| Full Name | DR. KATHY RADIE KEANE |
| Credential | M.D. |
| Practice Address |
825 N Main St Providence RI 02904-5707 |
| Mailing Address |
Po Box 54589 Los Angeles CA 90054-0589 |
| Practice Telephone | 4015219700 |
| Practice Fax Number | 4017511686 |
| Mailing Telephone | 5089417450 |
| Mailing Fax Number | 5089416205 |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2016-01-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
088516 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 7004866 | 05 | |
| MA | 110081540A | 05 | |
| RI | RR MEDICARE | 920005159 | 01 |
| Street Address |
825 N MAIN ST |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 02904-5707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538162508 | Scott A. Triedman | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| 1689030579 | Sheva Mirdamadi- Tehrani | Nurse Practitioner | 825 N Main St, Providence, RI 02904 | 2016-01-07 |
| 1295861292 | Margaret S. Wool | Social Worker | 825 N Main St, Providence, RI 02904-5767 | 2007-02-26 |
| 1285637256 | Gabriela B Masko | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| 1013910074 | Roger L. Brotman | Specialist | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| 1871596833 | Donald R. Joyce | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| 1801899760 | Nicklas B Oldenburg | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| 1376546267 | Radiation Oncology Associates Inc | Radiology | 825 N Main St, Providence, RI 02904-5707 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144792383 | Lifespan Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 180 Corliss Street, Suite A, Providence, RI 02904 | 2018-12-28 |
| 1780168229 | Beth M. Kalunian | Social Worker | 480 Charles Street, Providence, RI 02904 | 2018-09-20 |
| 1588161608 | Michael P. Johnson, Md, Inc | Internal Medicine | 148 W River St Ste 22b, Providence, RI 02904 | 2018-04-06 |
| 1780045948 | Fred Saccoccio | Pharmacist | 15 Smithfield Road, No Providence, RI 02904 | 2016-03-16 |
| 1699148999 | Latin Adult Day Health Care Center | Clinic/Center | 665 Charles Street, Providence, RI 02904 | 2015-11-09 |
| 1144639956 | Dina P Toolin | Occupational Therapist | 195 Collyer St. 3rd Floor, University Medical Center/miriam Hospital Outpatient, Providence, RI 02904 | 2014-08-06 |
| 1801208798 | Seth Clark | Internal Medicine | 200 Corliss St, Providence, RI 02904 | 2014-05-27 |
| 1134554645 | Molly Elizabeth Smith | Physical Therapist | 1405 Douglas Ave, North Providence, RI 02904 | 2013-09-04 |
| 1336408723 | Emad Awa | Pediatrics | 1 Randall Sq Ste 404, Providence, RI 02904 | 2012-05-07 |
| 1598036790 | Joseph F. Osmanski, Od, Inc | Optometrist | 1971 Mineral Spring Avenue, N. Providence, RI 02904 | 2012-01-19 |
| Find all providers in zip 02904 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1578726261 | Radiosurgery Center of Rhode Island LLC | Radiology | 593 Eddy St, Physicians' Office Building, Suite 130, Providence, RI 02903-4923 | 2008-07-03 |
| 1023278157 | Kara Lynne Leonard | Radiology | 593 Eddy St, Rih Radiation Oncology, Providence, RI 02903-4923 | 2008-06-12 |
| 1285893248 | Alexandra Sherman | Radiology | 50 Maude St, Providence, RI 02908-4325 | 2008-06-05 |
| Find all providers in PROVIDENCE | ||||
| City | PROVIDENCE |
| Zip Code | 02904 |
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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.