Radiation Medicine Affiliates, Inc

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

RADIATION MEDICINE AFFILIATES, INC

Practice address

111 Colchester Ave
Fletcher Allen Health Care, Div. of Radiation Oncology
Burlington, VT 05401-1473

Phone

(802) 847-3506

Fax

(802) 847-2386

NPI assigned

Jul 22, 2006

Last updated

Dec 3, 2007By 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

Dr. Harold James Wallace III, M.D.NPI 1770504888

Title

President

Phone

(802) 847-3506

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 2

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.

• Harold James Wallace III, M.D.

  • Radiation Oncology Physician
  • Burlington, VT
  • NPI 1770504888
  Authorized official Same address or phone
• Deborah Rubin, MD

  • Therapeutic Radiology Physician
  • Burlington, VT
  • NPI 1073528436
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1285655332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 MOODY ST",
            "address_2": "PER SE TECHNOLOGIES",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010561246",
            "telephone_number": "800-866-6663",
            "fax_number": "888-413-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLCHESTER AVE",
            "address_2": "FLETCHER ALLEN HEALTH CARE, DIV. OF RADIATION ONCOLOGY",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054011473",
            "telephone_number": "802-847-3506",
            "fax_number": "802-847-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIATION MEDICINE AFFILIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-847-3506",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "330-2537",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002537",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "05794",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Anne Rabinovitz, M.S.W.
• Zoey Rabinovitz, DMD
• Terry Rabinowitz, M.D.
• Lori Beth Racha, M.D.
• Rachel Buckner Counseling LLC
• Minoo Rafati Seyedi Yazdi, DO
• Gail Rafferty, LICSW
• Kelsey Rafferty, CAA
• Melissa Rafferty, MD
• Donald Rahelich, MSW, LICSW

• Radiation Oncology Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Radiation Oncology Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.