Roger Williams Radiation Therapy, LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

ROGER WILLIAMS RADIATION THERAPY, LLC

Practice address

50 Maude St
Providence, RI 02908-4325

Phone

(401) 456-2690

Fax

(401) 456-6540

NPI assigned

Dec 12, 2006

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert L Hiatt

Title

Cfo

Phone

(630) 936-8828

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rashmi K. Benda, M.D.

  • Radiation Oncology Physician
  • Warwick, RI
  • NPI 1750334769
  Medicare reassignment Care Compare group NPD
• John J Coen, MD

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1891720165
  Medicare reassignment Care Compare group NPD
• Martin Fuss, M.D.

  • Radiation Oncology Physician
  • Woonsocket, RI
  • NPI 1710990312
  Medicare reassignment Care Compare group NPD
• Jonathan Michael Glanzman, MD

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1649533175
  Medicare reassignment Care Compare group NPD
• Jessica Yancey, MD

  • Radiation Oncology Physician
  • Providence, RI
  • NPI 1649766882
  Medicare reassignment Care Compare group NPD
• Daniel Eric Fass, M.D.

  • Radiation Oncology Physician
  • Rye, NY
  • NPI 1215049184

  RI

  Medicare reassignment Care Compare group NPD
• Michael J. Katin, MD

  • Radiation Oncology Physician
  • Woonsocket, RI
  • NPI 1811994999
  Medicare reassignment NPD
• Belarmino Augusto Nunes, M.D.

  • Family Medicine Physician
  • North Providence, RI
  • NPI 1922198837
  NPD (past)
• Daniel E. Dosoretz, MD

  • Radiation Oncology Physician
  • Port Charlotte, FL
  • NPI 1629073200
  NPD (past)
• Patrick Joseph Kelty, MD

  • Urology Physician
  • Fall River, MA
  • NPI 1548228166
  NPD (past)
• Tatiana Ivanovna Lingos, M.D.

  • Radiation Oncology Physician
  • Boston, MA
  • NPI 1346231024
  NPD (past)
• Brian S McLeod, M.D.

  • Urology Physician
  • Brooklyn, CT
  • NPI 1447255963
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1013078450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-456-2690",
            "fax_number": "401-456-6540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MAUDE ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029084325",
            "telephone_number": "401-456-2690",
            "fax_number": "401-456-6540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER WILLIAMS RADIATION THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "630-936-8828"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013078",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roger Williams Medical Center (Roger Williams Nutritionist Group)
• Roger Williams Medical Center
• Roger Williams Medical Center (Roger Williams Pulmonary Group)
• Roger Williams Medical Center
• Roger Williams Medical Center
• Anette Piscopo Rogers, MS CCC SLP
• Ashly Rogers
• Colleen Rogers
• Jennifer Rogers, M.D.
• Jyllian Rogers

• Radiation Oncology Physician in Providence, RI
• Providers in Providence, RI by specialty
• Radiation Oncology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.