Dora Clark
ROGER WILLIAMS RADIATION THERAPY, LLC


Address: 50 Maude St, Providence, RI 02908-4325
Phone: 4014562690

Dora Clark (NPI# 1760559033, PAC ID# 7214036987) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.

Physician Overview

Nation Provider ID (NPI) 1760559033
PAC ID by PECOS 7214036987
Professional Enrollment ID I20080512000156
Full Name Dora Clark
Organization Legal Name ROGER WILLIAMS RADIATION THERAPY, LLC
Address 50 Maude St
Providence
RI 02908-4325
Phone Number 4014562690
Gender F
Credential PA
Medical School DUKE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2006
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 3476658188
Number of Group Practice Members 15
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
410009 KENT COUNTY MEMORIAL HOSPITAL
410011 LANDMARK MEDICAL CENTER

Other Locations

Address Phone Organization
1539 Atwood Ave, Suite 203, Johnston, RI 02919-3262 4014212110 ROGER WILLIAMS RADIATION THERAPY, LLC
50 Maude St, Providence, RI 02908-4325 4014562690 ROGER WILLIAMS RADIATION THERAPY, LLC

Organization Information

Organization Legal Name ROGER WILLIAMS RADIATION THERAPY, LLC
Physicians 14

Physicians with the same organization

Name Specialty Organization Address
Alexander L Lubin Urology Roger Williams Radiation Therapy, LLC 207 Quaker Ln, Fl 1, West Warwick, RI 02893-2179
Prakash B Chougule Radiation Oncology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Vincent A Catallozzi Urology Roger Williams Radiation Therapy, LLC 191 Social St, 6th, Woonsocket, RI 02895-3240
Alexandra Sherman Radiation Oncology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Joseph C Cambio Urology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Timothy D Shafman Radiation Oncology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Atip Chatsudthipong Urology Roger Williams Radiation Therapy, LLC 207 Quaker Ln, Fl 1, West Warwick, RI 02893-2179
Angelo J Cambio Urology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Joseph A. Cambio Urology Roger Williams Radiation Therapy, LLC 191 Social St, 6th, Woonsocket, RI 02895-3240
Angela K. Derobertis Radiation Oncology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325

Office Location

Street Address 50 MAUDE ST
City PROVIDENCE
State RI
Zip 02908-4325

Physicians in the same location

Name Specialty Organization Address
Elinor M Collins Certified Clinical Nurse Specialist (cns) Prospect Chartercare Rwmc, LLC 50 Maude St, Providence, RI 02908-4325
Michael Mariorenzi Orthopedic Surgery Prospect Chartercare Rwmc, LLC 50 Maude St, Providence, RI 02908-4325
Prakash B Chougule Radiation Oncology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Steven Carl Katz Surgical Oncology Prospect Chartercare Rwmc, LLC 50 Maude St, Providence, RI 02908-4325
Gregory James Austin Orthopedic Surgery Prospect Chartercare Rwmc, LLC 50 Maude St, Providence, RI 02908-4325
Alexandra Sherman Radiation Oncology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Carrie M Reynolds General Practice Integrated Wound Care Rhode Island Pllc 50 Maude St, Providence, RI 02908-4325
Joseph C Cambio Urology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Thomas P Cesaro Optometry Providence Eye Associates, Inc. 50 Maude St, Providence, RI 02908-4325
Timothy D Shafman Radiation Oncology Roger Williams Radiation Therapy, LLC 50 Maude St, Providence, RI 02908-4325
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Edward T Gallucci Chiropractic 1337 Smith St, North Providence, RI 02908-1823
Sean Manchester Clinical Social Worker 19 Trinity Pkwy, Providence, RI 02908-1932
Nicholas Bruno Physical Therapy 667 Academy Ave, Providence, RI 02908-2105
John Charette Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Tara Mabel Brannon Bogs Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Leah Elizabeth Shavalier Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Catherine Hoefliger-gallo Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Randi J Braunstein Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Michael D Brodeur Psychologist, Clinical Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Terri Lupoli Clinical Social Worker Providence Behavioral Health Associates Inc 1075 Smith St, Suite 2, Providence, RI 02908-2700
Find all physicians in zip 02908

Competitor

Search similar physicians

City PROVIDENCE
Zip Code 02908
Specialty PHYSICIAN ASSISTANT
City + Specialty PROVIDENCE + PHYSICIAN ASSISTANT

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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