MYSTIC RADIATION ONCOLOGISTS, P.C. – NPI #1962526194
Radiology

MYSTIC RADIATION ONCOLOGISTS, P.C. is a radiologist located in WINCHESTER, MA. NPPES has assigned the NPI number 1962526194 to MYSTIC RADIATION ONCOLOGISTS, P.C. on March 16, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0203X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 MYSTIC RADIATION ONCOLOGISTS, P.C. below.

NPI Profile for
MYSTIC RADIATION ONCOLOGISTS, P.C.

NPI Number
1962526194
Enumeration Date

(more than 19 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
MYSTIC RADIATION ONCOLOGISTS, P.C.
Primary location
620 WASHINGTON ST
WINCHESTER, MA 01890-1328
Phone: (781) 944-0008 Fax:
Mailing address
113 EASTWAY
READING, MA 01867-1110
Phone: (781) 944-0008 Fax:
Organization Subpart
No
Authorized Official
RICHARD HEIDBREDER
PRESIDENT
Phone: (781) 944-0008
Updated
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
2085R0203X
- Radiology / Radiation Oncology (Primary)

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.