{"npi":"1013078450","type":"NPI-2","status":"active","name":{"display":"Roger Williams Radiation Therapy, LLC","other":[],"organization_name":"ROGER WILLIAMS RADIATION THERAPY, LLC","authorised_official":"Robert Hiatt"},"specialty":{"primary_taxonomy":"2085R0001X","primary_taxonomy_description":"Radiation Oncology Physician","slug":"radiation-oncology-physician","schema_org_specialty":null,"all":[{"code":"2085R0001X","description":"Radiation Oncology Physician","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"50 MAUDE ST","city":"PROVIDENCE","state":"RI","postal_code":"029084325","country_code":"US","phone":"4014562690","fax":"4014566540"},{"purpose":"MAILING","street_1":"50 MAUDE ST","city":"PROVIDENCE","state":"RI","postal_code":"029084325","country_code":"US","phone":"4014562690","fax":"4014566540"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"1013078","state":"RI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20070424000663","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"RI","pac_id":"3476658188"}]},"enumeration_date":"2006-12-12","last_updated":"2024-11-19","_meta":{"source":"NPPES","snapshot_date":"2024-11-19","doc_url":"https://findmynpi.com/api"}}