EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A. – NPI #1386832129
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Health Care Provider Taxonomy Code for Radiology

EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A. is a radiologist located in EASTON, MD. NPPES has assigned the NPI number 1386832129 to EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A. on October 05, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 8 years ago on May 22, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A. below.

NPI Profile for
EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A.

NPI Number
1386832129
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A.
Primary location
509 IDLEWILD AVE
EASTON, MD 21601
Phone: (410) 820-6411 Fax: (410) 820-4229
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JOHN MASTANDREA
PRESIDENT
Phone: (410) 820-6411
Updated
Identifiers

Identifiers for EASTERN SHORE RADIATION ONCOLOGY ASSOC., P.A.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMD088861300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)		 MD D0036644

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.