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RIVERSIDE RADIATION ONCOLOGY INC NPI 1790721629


NPI Information

NPI: 1790721629
Provider Name: RIVERSIDE RADIATION ONCOLOGY INC
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
3525 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43214
Phone: (614) 566-5000
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RIVERSIDE RADIATION ONCOLOGY INC is a radiation oncology radiology in Columbus, OH. 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. RIVERSIDE RADIATION ONCOLOGY INC NPI is 1790721629. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3525 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43214-937
Phone: (614) 566-5000
Fax: (614) 566-6958

The provider's authorized official is Mark J Crnkovich .
The authorized official title is President and has the following contact phone number (614) 566-5000.

The enumeration date for this NPI number is 6/21/2006 and was last updated on 8/22/2011.


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 OncologyYes

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=========003OTHERMEDICAL MUTUAL
2CB5260OTHERMEDICARE RAILROAD
39922591MEDICARE PINOHIO
49922592MEDICARE PINOHIO
50649436MEDICAIDOHIO

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

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