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CLEVELAND RADIATION ONCOLOGY INC NPI 1457546475


NPI Information

NPI: 1457546475
Provider Name: CLEVELAND RADIATION ONCOLOGY, INC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 36D1091599

Address:
5260 SMITH RD
BROOKPARK, OH
ZIP 44142
Phone: (216) 265-4580
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CLEVELAND RADIATION ONCOLOGY, INC is a specialist in Brookpark, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CLEVELAND RADIATION ONCOLOGY, INC NPI is 1457546475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5260 SMITH RD
BROOKPARK, OH
ZIP 44142-747
Phone: (216) 265-4580

The provider's authorized official is Jon Prescott .
The authorized official title is Direct Owner and has the following contact phone number (440) 816-6015.

The CLIA number assigned to this NPI record is 36D1091599 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 10/14/2014.


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
1174400000XSpecialistYes

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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