CLERMONT COUNTY CANCER CENTER LLC (NPI# 1013315076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013315076 |
| Entity Type | Organization |
| Organization Name | CLERMONT COUNTY CANCER CENTER LLC |
| Other Organization Name | CLERMONT COUNTY CANCER CENTER |
| Practice Address |
4402 Hartman Ln Batavia OH 45103-1971 |
| Practice Telephone | 5137354442 |
| Practice Fax Number | 5137354443 |
| Mailing Telephone | 5137354442 |
| Mailing Fax Number | 5137354443 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2015-03-17 |
| Authorized Official Name | MS. PAYAL PATEL (CEO) |
| Authorized Official Telephone | 5137354442 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Clermont County Cancer Center | Doing Business As Name - Organization |
| Street Address |
4402 HARTMAN LN |
| City | BATAVIA |
| State | OH |
| Zip Code | 45103-1971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1679136188 | Anne Christine Nyktas | Dietitian, Registered | 4104 Bach-buxton Road, Batavia, OH 45103 | 2019-04-19 |
| 1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
| 1528586369 | Nichole Eglian | Family Medicine | 4621 Blainfield Ct, Batavia, OH 45103 | 2017-08-31 |
| 1366842296 | Mary Suttschenko | Physical Therapist | 1325 Quail Ridge Road, Batavia, OH 45103 | 2014-08-28 |
| 1033532882 | Nhung Do | Social Worker | 463 South Broadway, Batavia, OH 45103 | 2014-01-30 |
| 1962840009 | Robert H Lewis | Specialist/Technologist | 1241 Ben Avon, Cincinnati, OH 45103 | 2013-06-11 |
| 1548506397 | Mary Ann Rhodes | Registered Nurse | 4352 Long Lake Dr, Apt 2214, Batavia, OH 45103 | 2012-12-26 |
| 1184958068 | Papia Das | Speech-Language Pathologist | 2400 Clermont Center Drive, Clermont County Educational Service Center, Batavia, OH 45103 | 2009-09-25 |
| 1558501650 | Clermont Northeastern Local Schools | Local Education Agency (LEA) | 2792 U.S. Highway 50, Batavia, OH 45103 | 2009-03-02 |
| Find all providers in zip 45103 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811974058 | Foroogh K Jazy | Radiology | 3020 Hospital Dr, Batavia, OH 45103-1962 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720486517 | Oncology Hematology Care, Inc. | Radiology | 900 Havemann Rd, Celina, OH 45822-1870 | 2014-12-11 |
| 1548607278 | Michael Jason Bishop | Radiology | 803 W Market St Ste 100, Lima, OH 45805-2796 | 2013-06-04 |
| 1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
| 1942569041 | Matthew Lee Knecht | Radiology | 3525 Pentagon Blvd, Ste 101, Beavercreek, OH 45431-1705 | 2012-05-09 |
| 1083841480 | Giselle T, Bretz | Radiology | 4825 Winding Creek Trl, Dayton, OH 45429-1976 | 2009-06-12 |
| 1275707614 | Thomas Nabhani | Radiology | 330 Glessner Ave, Mansfield, OH 44903-2226 | 2008-04-16 |
| 1518148691 | Ralph Riddall Dobelbower Jr. | Radiology | 1666 River Road, Maumee, OH 43537 | 2007-11-17 |
| 1902007651 | Ryan D. Steinmetz | Radiology | 501 Atrium Dr Ste 100, Middletown, OH 45005-5165 | 2007-05-30 |
| 1386854875 | Andrew B. Freeman | Radiology | 801 Ohio Health Blvd Ste 180, Delaware, OH 43015-7883 | 2007-05-23 |
| 1023143864 | Summa Physicians Inc | Radiology | 3780 Medina Rd Ste 150, Medina, OH 44256-9312 | 2007-02-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.