Middlesex East Radiation Oncologist, PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MIDDLESEX EAST RADIATION ONCOLOGIST, PC

Practice address

48 Montvale Ave
Stoneham, MA 02180-2425

Phone

(781) 279-0655

Fax

(781) 279-0409

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Paul McKeough, M.D.

Title

Medical Director

Phone

(781) 279-0655

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861587784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802425",
            "telephone_number": "781-279-0655",
            "fax_number": "781-279-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 MONTVALE AVE",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021802425",
            "telephone_number": "781-279-0655",
            "fax_number": "781-279-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLESEX EAST RADIATION ONCOLOGIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKEOUGH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "781-279-0655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9768866",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Radiation Oncology Physician in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Radiation Oncology Physician in Massachusetts

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.