Active NPI
Steward Good Samaritan Radiation Oncology Center, Inc.
- Radiation Oncology Physician
- Brockton, MA
National Provider Identifier
1356654966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- STEWARD GOOD SAMARITAN RADIATION ONCOLOGY CENTER, INC.
- Practice address
- 818 Oak St
Brockton, MA 02301-1107 - Phone
- (508) 427-2900
- Fax
- (617) 562-7241
- NPI assigned
- Jul 23, 2010
- Last updated
- Jul 23, 2010
- Organization subpart
- Yes
- Parent organization
- STEWARD HEALTH CARE SYSTEM LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark J Rich
- Title
- Chief Financial Officer
- Phone
- (617) 789-2706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary |
Addresses
Primary practice location
818 Oak St
Brockton, MA 02301-1107
Mailing address
818 Oak St
Brockton, MA 02301-1107
Phone (508) 427-2900
National Provider Directory
National Provider DirectoryLocations
818 Oak St
Brockton, MA 02301
Phone (508) 427-2900
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Brockton, MA
- NPI 1861903395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279843200000",
"number": "1356654966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 OAK ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011107",
"telephone_number": "508-427-2900",
"fax_number": "617-562-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 OAK ST",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011107",
"telephone_number": "508-427-2900",
"fax_number": "617-562-7241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEWARD GOOD SAMARITAN RADIATION ONCOLOGY CENTER, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STEWARD HEALTH CARE SYSTEM LLC",
"enumeration_date": "2010-07-23",
"last_updated": "2010-07-23",
"status": "A",
"authorized_official_last_name": "RICH",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "617-789-2706"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
- Luke Addison Stevens
- Nicola S Stevens
- Steward Good Samaritan Medical Center, Inc.
- Steward Good Samaritan Medical Center, Inc.
- Steward Good Samaritan Medical Center, Inc.
- Steward Medical Group, Inc
- Steward Pet Imaging, L.L.C. (Steward PET Imaging, LLC at Good Samaritan Medical Center)
- Catherine Monica Stewart, LICSW
- Daniel Robert Stewart, MA
- Erin Marie Stewart
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.