Mystic Radiation Oncologists, P.C.

Primary specialty

Therapeutic Radiology PhysicianTaxonomy code 2085R0203X

Legal business name

MYSTIC RADIATION ONCOLOGISTS, P.C.

Practice address

620 Washington St
Winchester, MA 01890-1328

Phone

(781) 944-0008

NPI assigned

Mar 16, 2007

Last updated

Aug 22, 2020By 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

Dr. Richard Charles Heidbreder, M. D.

Title

President

Phone

(781) 944-0008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962526194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 EASTWAY",
            "city": "READING",
            "state": "MA",
            "postal_code": "018671110",
            "telephone_number": "781-944-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WASHINGTON ST",
            "city": "WINCHESTER",
            "state": "MA",
            "postal_code": "018901328",
            "telephone_number": "781-944-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYSTIC RADIATION ONCOLOGISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEIDBREDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "781-944-0008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kit Mui, M.D.
• Vivek Mukherjee, MD
• Anushya Murale, M.D.
• Julianne Marie Murphy, MSOM
• Mackenzie Anne Murray, BA
• Nabil R. Ibrahim B.D.S., D.D.S., PLLC
• Molly Ellen Naeger, PA-C
• Malini Anil Nair, MD
• Nehla Langnui Nambouh
• Cordelia Ariel Nason, M.D.

• Therapeutic Radiology Physician in Winchester, MA
• Providers in Winchester, MA by specialty
• Therapeutic Radiology 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.