Philip G Maddock, MD, FRCR

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

MD06159 Issued in RI

Practice address

450 Toll Gate Rd
Warwick, RI 02886-2715

Phone

(401) 732-2300

Fax

(401) 738-3450

NPI assigned

Jan 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Radiation Oncology Services of Rhode Island, LLC

  • Radiation Oncology Clinic/Center
  • Warwick, RI
  • NPI 1093861858
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750437448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862715",
            "telephone_number": "401-732-2300",
            "fax_number": "401-738-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 TOLL GATE RD",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028862715",
            "telephone_number": "401-732-2300",
            "fax_number": "401-738-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDOCK",
        "first_name": "PHILIP",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD, FRCR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "RI",
            "license": "MD06159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000354",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Bryn Macmanus
• Joann D. Macmillan, M.D.
• Caryn Maddaline
• Hannah Elizabeth Madden, DO
• Martin Madden, BA, LCPD, NCGCII,SAP
• Kaila Madera-Stein, LICSW
• Neal B. Madhani, M.D.
• Joel Thomas Madison
• Lisa Madison
• Hannah Madrid

• Radiation Oncology Physician in Warwick, RI
• Providers in Warwick, RI by specialty
• Radiation Oncology Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.