NPIMap

Individual provider Active NPI

William Davenport Powlis, M.D.

  • Radiation Oncology Physician
  • South Weymouth, MA
National Provider Identifier
1083656771
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
38122 Issued in MA
Practice address
101 Columbian St
Radiation Oncology
South Weymouth, MA 02190-1601
Phone
(781) 624-4700
Fax
(781) 624-4710
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD027906E PA
Radiation Oncology Physician 2085R0001X 38122 MA Primary

Addresses

Primary practice location

101 Columbian St
Radiation Oncology
South Weymouth, MA 02190-1601

Mailing address

101 Columbian St
Radiation Oncology
South Weymouth, MA 02190-1601
Phone (781) 624-4700

Other identifiers 2

IdentifierTypeStateIssuer
0011060870002MedicaidTN
487351OtherPAHIGHMARK BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Radiation Oncology PC Radiation Oncology Past Accepting new patients
Pal Radiation Oncology Associates LTD Radiation Oncology PastSince Dec 1, 2004 Accepting new patients
Southeast Radiology LTD Radiation Oncology Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1083656771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COLUMBIAN ST",
            "address_2": "RADIATION ONCOLOGY",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901601",
            "telephone_number": "781-624-4700",
            "fax_number": "781-624-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COLUMBIAN ST",
            "address_2": "RADIATION ONCOLOGY",
            "city": "SOUTH WEYMOUTH",
            "state": "MA",
            "postal_code": "021901601",
            "telephone_number": "781-624-4700",
            "fax_number": "781-624-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWLIS",
        "first_name": "WILLIAM",
        "middle_name": "DAVENPORT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "PA",
            "license": "MD027906E",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "MA",
            "license": "38122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011060870002",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BCBS",
            "identifier": "487351",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.