Eastern Pennsylvania Radiation Oncology PC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

EASTERN PENNSYLVANIA RADIATION ONCOLOGY PC

Practice address

15 Alliance St
New Philadelphia, PA 17959-1101

Phone

(570) 277-6218

Fax

(570) 277-6398

NPI assigned

Nov 11, 2008

Last updated

Nov 11, 2008By 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 III, MDNPI 1447245899

Title

Owner

Phone

(570) 277-6218

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
  • Lehighton, PA
  • NPI 1457586216

  O20040504000669

  Same enrollment

Practitioners 2

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
  Medicare reassignment Authorized official
• Daniel J Darco, MD

  • Orthopaedic Surgery Physician
  • New Phildelphia, PA
  • NPI 1023019387
  Medicare reassignment NPD

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1881848315",
    "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": "15 ALLIANCE ST",
            "city": "NEW PHILADELPHIA",
            "state": "PA",
            "postal_code": "179591101",
            "telephone_number": "570-277-6218",
            "fax_number": "570-277-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PENNSYLVANIA RADIATION ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "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": "570-277-6218",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolfgang Hans Baerwald, MD
• Coal Region Radiation Oncology PC
• Darco Orthopedics LLC
• Finding Yourself & Moving Forward Consulting, LLC
• Jonathan Mark Keyes, DDS
• David J Moylan III, MD
• Pennsylvania Muscle Bone and Joint LLC
• Michelle Singleton, L.C.S.W.

• Radiation Oncology Physician in New Philadelphia, PA
• Providers in New Philadelphia, 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 Nov 11, 2008; 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.