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NORTH COAST CANCER CARE INC NPI 1174552913


NPI Information

NPI: 1174552913
Provider Name: NORTH COAST CANCER CARE, INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
417 QUARRY LAKES DR.
SANDUSKY, OH
ZIP 44870
Phone: (419) 626-9090
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NORTH COAST CANCER CARE, INC is a hematology and oncology internal medicine in Sandusky, OH. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. NORTH COAST CANCER CARE, INC NPI is 1174552913. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

417 QUARRY LAKES DR.
SANDUSKY, OH
ZIP 44870-132
Phone: (419) 626-9090

The provider's authorized official is Steven Gale Roshon .
The authorized official title is President and has the following contact phone number (419) 626-9090.

The enumeration date for this NPI number is 7/2/2006 and was last updated on 5/7/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyOHIONo
22085R0202XRadiologyDiagnostic RadiologyOHIONo
31835X0200XPharmacistOncologyOHIONo
4207RH0003XInternal MedicineHematology & OncologyOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========3214OTHEROHIOMEDICAL MUTUAL OF OHIO
2NO9915215MEDICARE PINOHIO
3=========3A00OTHEROHIOANTHEM
40408348MEDICAIDOHIO
5=========00OTHEROHIOBWC
60743180001MEDICARE NSCOHIO

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: 11/14/2023

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