Organization Active NPI

Connecticut Radiation Oncology, P.C.

  • Radiation Oncology Physician
  • Hartford, CT
National Provider Identifier
1720143563
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CONNECTICUT RADIATION ONCOLOGY, P.C.
Practice address
94 Woodland St
Hartford, CT 06105-1217
Phone
(860) 714-4568
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Richard Shumway, M.D.
Title
President
Phone
(860) 714-4568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X CT Primary

Addresses

Primary practice location

94 Woodland St
Hartford, CT 06105-1217

Mailing address

94 Woodland St
Hartford, CT 06105-1217

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051214000325 CT Part B Supplier - Clinic/Group Practice 0345261699 Receives reassigned benefits from 5 practitioners
Practice locations: Enfield, CT; Hartford, CT

National Provider Directory

National Provider Directory

Locations

20 Tower Ln
Avon, CT 06001
Phone (214) 450-2340

20 Tower Ln
Ste 305
Avon, CT 06001

98 Woodland St
Hartford, CT 06105

96 Woodland St
Hartford, CT 06105

97 Woodland St
Hartford, CT 06105

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720143563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061051217",
            "telephone_number": "860-714-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT RADIATION ONCOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHUMWAY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-714-4568",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.