Organization Active NPI

Steward Good Samaritan Radiation Oncology Center, Inc.

  • Radiation Oncology Physician
  • Brockton, MA
National Provider Identifier
1356654966
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
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, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
STEWARD HEALTH CARE SYSTEM LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.