Active NPI
Pioneer Valley Radiation Oncology, PC
- Specialist
- Springfield, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 74050
- Legal business name
- PIONEER VALLEY RADIATION ONCOLOGY, PC
- Practice address
- 3350 Main St
Springfield, MA 01107-1112 - Phone
- (413) 794-9175
- Fax
- (413) 794-5153
- NPI assigned
- Jul 8, 2006
- Last updated
- Sep 16, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brian Acker, M.D.
- Title
- Authorized Official
- Phone
- (413) 794-9338
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 74050 | MA | Primary |
Addresses
Primary practice location
3350 Main St
Springfield, MA 01107-1112
Mailing address
PO Box 4110
Dept 1410
Woburn, MA 01888-4110
Phone (413) 794-9338
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M20534 | Other | MA | MEDICARE PTAN |
| M16963 | Other | MA | BLUE CROSS BLUE SHIELD |
| 9783679 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3350 Main St
Springfield, MA 01107
Phone (413) 784-5437
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Radiation Oncology Physician
- Boston, MA
- NPI 1245277441
-
- Specialist
- Springfield, MA
- NPI 1750480422
-
- Student in an Organized Health Care Education/Training Program
- Philadelphia, PA
- NPI 1952716623
MA
-
- Specialist
- Boston, MA
- NPI 1942391891
-
- Specialist
- Springfield, MA
- NPI 1619077369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442361600000",
"number": "1619900172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4110",
"address_2": "DEPT 1410",
"city": "WOBURN",
"state": "MA",
"postal_code": "018884110",
"telephone_number": "413-794-9338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3350 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011071112",
"telephone_number": "413-794-9175",
"fax_number": "413-794-5153"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PIONEER VALLEY RADIATION ONCOLOGY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2015-09-16",
"status": "A",
"authorized_official_last_name": "ACKER",
"authorized_official_first_name": "BRIAN",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "413-794-9338",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MA",
"license": "74050",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "M20534",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "M16963",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9783679",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
- Pioneer Valley Eye Surgery and Laser Center, LLC
- Pioneer Valley Graphics, PC
- Pioneer Valley Health Resources LLC
- Pioneer Valley Nephrology, PC
- Pioneer Valley Orthopedics, Inc
- Pioneer Valley Surgical Associates, P.C.
- Pioneer Valley Surgicenter LLC (Pioneer Valley Surgicenter)
- Pioneer Valley Urology, PC
- Kendall Piorek
- Cynthia Lynn Piotrowkski, RN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; 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.