Eastern Pennsylvania Radiation Oncology PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

EASTERN PENNSYLVANIA RADIATION ONCOLOGY PC

Practice address

800 Mahoning St
Lehighton, PA 18235-1246

Phone

(610) 377-6881

Fax

(610) 377-6889

NPI assigned

May 22, 2009

Last updated

May 22, 2009By 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

David J Moylan, MDNPI 1447245899

Title

Owner

Phone

(570) 277-6812

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eastern Pennsylvania Radiation Oncology PC

  • Radiation Oncology Physician
  • New Philadelphia, PA
  • NPI 1881848315

  O20040504000669

  Same enrollment

Locations

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.

• David J Moylan III, MD

  • Radiation Oncology Physician
  • New Philadelphia, PA
  • NPI 1447245899
  Authorized official Same address or phone

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1457586216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ALLIANCE ST",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179591101",
            "telephone_number": "570-277-6218",
            "fax_number": "570-277-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAHONING ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351246",
            "telephone_number": "610-377-6881",
            "fax_number": "610-377-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PENNSYLVANIA RADIATION ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "MOYLAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-277-6812",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Joseph Donaghy, CRNP
• Nicholas Dorazio, DPT
• Dr Joseph McGinley PC
• Dr.L.Narayana Gajula & Associates
• Robert A Durako, DO
• Olivia Grace Eaton, RN
• Eckerd Corporation (Rite Aid Pharmacy 11058)
• Lesley A Eggert, PA-C
• Kristin Ellis, CCC-SLP
• Cheryl Endy

• Radiation Oncology Physician in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Radiation Oncology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.