EASTGATE RADIATION ONCOLOGY LLC (NPI# 1265541049) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265541049 |
| Entity Type | Organization |
| Organization Name | EASTGATE RADIATION ONCOLOGY LLC |
| Practice Address |
4415 Aicholtz Rd Cincinnati OH 45245-1506 |
| Mailing Address |
Po Box 10050 Manhattan Beach CA 90267-7550 |
| Practice Telephone | 5137528100 |
| Mailing Telephone | 3103354056 |
| Mailing Fax Number | 3103354098 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2008-07-09 |
| Authorized Official Name | MARK SHALVARJIAN (SENIOR VICE-PRESIDENT) |
| Authorized Official Telephone | 3103354056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2675038 | 05 | |
| OH | RAILROAD MEDICARE | DF8293 | 01 |
| Street Address |
4415 AICHOLTZ RD |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45245-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396746301 | Todd R. Bricking | Emergency Medicine | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2005-08-02 |
| 1255768107 | Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2013-10-08 |
| 1275705048 | Tri-state Pain Management Service Inc | Nurse Practitioner | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2008-04-01 |
| 1952340903 | Kevin R Ackley | Emergency Medicine | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-06-05 |
| 1316999337 | Eastgate Cancer Center LLC | Radiology | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-05-17 |
| 1538122957 | Surgery Center of Cincinnati, LLC | Clinic/Center | 4415 Aicholtz Rd, Cincinnati, OH 45245-1506 | 2006-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| 1134785389 | Cei Physicians P.s.c., LLC | Clinic/Center | 601 Ivy Gateway, Suite 302, Cincinnati, OH 45245 | 2019-05-14 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1902387335 | Sarah Joy Martinez | Occupational Therapy Assistant | 4300 Glen Este-withamsville Rd, Cincinnati, OH 45245 | 2018-08-23 |
| 1376051979 | Starline Investments Inc | Ambulance | 3226 Omni Dr, Cincinnati, OH 45245 | 2018-01-17 |
| 1255842084 | Trilogy Healthcare of Clermont, LLC | Skilled Nursing Facility | 4300 Gleneste-withamsville Road, Cincinnati, OH 45245 | 2017-10-19 |
| 1467974303 | Christabel Ngwepegue Nyam | Licensed Practical Nurse | 4110 Long Acres Dr, Cincinnati, OH 45245 | 2017-07-12 |
| 1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
| 1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
| Find all providers in zip 45245 | ||||
| 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 |
|---|---|---|---|---|
| 1598828188 | Clermont Radiation Oncology Center | Radiology | 7691 Five Mile Rd, Suite 203, Cincinnati, OH 45230 | 2006-12-18 |
| 1649379892 | Oncology Hematology Care, Inc | Radiology | 8000 5 Mile Road, Suite 105, Cincinnati, OH 45230 | 2006-09-22 |
| 1396786661 | Thomas M. Morand | Radiology | 2452 Kipling Road, Cincinnati, OH 45239 | 2006-06-09 |
| 1205877578 | Daniel R White | Radiology | 2452 Kipling Avenue, Cincinnati, OH 45239-6650 | 2006-06-09 |
| 1275574535 | Jeffrey I Grass | Radiology | 8000 5 Mile Rd Ste 105, Cincinnati, OH 45230-2187 | 2006-06-09 |
| 1063469211 | Pearl J Compaan | Radiology | 4415 Aicholtz Rd Ste 400b, Cincinnati, OH 45245-1506 | 2006-05-30 |
| 1972573483 | Kenneth Edwin Murdock | Radiology | 8088 Carnaby Ln, Cincinnati, OH 45249 | 2006-01-25 |
| 1801866017 | Wagih M Shehata | Radiology | 7691 Five Mile Road, Suite 203, Cincinnati, OH 45230 | 2006-01-23 |
| 1720493547 | Joshua B Martin | Radiology | 3301 Mercy Health Blvd Ste 100, Cincinnati, OH 45211 | 2014-07-01 |
| 1689084261 | Christopher Freese | Radiology | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2014-05-05 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45245 |
Please comment or provide details below to improve the information on EASTGATE RADIATION ONCOLOGY LLC.
| 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.