DR. KATHY RADIE KEANE


Address: 825 N Main St, Providence, RI 02904-5707
Phone: 4015219700

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0001X Radiology
Specialization: Radiation Oncology
088516 RI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
RI 7004866 05
MA 110081540A 05
RI RR MEDICARE 920005159 01

Office Location

Street Address 825 N MAIN ST
City PROVIDENCE
State RI
Zip Code 02904-5707

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0001X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Radiation Oncology

Taxonomy Definition

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

Providers in the same taxonomy and city

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

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City PROVIDENCE
Zip Code 02904

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Dataset Information

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.

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