WILLIAM DAVENPORT POWLIS M.D. NPI 1083656771

NPI Information

NPI: 1083656771
Provider Name: WILLIAM DAVENPORT POWLIS, M.D.
Classification: Radiology - 2085R0001X
Entity Type: Individual

Specialization: Radiation Oncology

PECOS Registration: Yes

Address:
101 COLUMBIAN ST
RADIATION ONCOLOGY
SOUTH WEYMOUTH, MA
ZIP 02190
Phone: (781) 624-4700
Get Directions

William Davenport Powlis, M.D. is a radiation oncology radiology in South Weymouth, MA with 51 years of experience. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. William Davenport Powlis, M.D. NPI is 1083656771. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduation Year:1973

The provider's business location address is:

101 COLUMBIAN ST
RADIATION ONCOLOGY
SOUTH WEYMOUTH, MA
ZIP 02190-601
Phone: (781) 624-4700
Fax: (781) 624-4710

The NPI 1083656771 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 8/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology	MD027906E	PENNSYLVANIA	No
2	2085R0001X	Radiology	Radiation Oncology	38122	MASSACHUSETTS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	487351TB4	MEDICARE PIN	PENNSYLVANIA
2	0011060870002	MEDICAID	TENNESSEE
3	487351	OTHER	PENNSYLVANIA	HIGHMARK BCBS
4	F49342	MEDICARE UPIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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