OHIO CANCER SPECIALISTS (NPI# 1316917040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316917040 |
| Entity Type | Organization |
| Organization Name | OHIO CANCER SPECIALISTS |
| Practice Address |
1125 Aspira Ct Mansfield OH 44906-4125 |
| Practice Telephone | 4197562122 |
| Practice Fax Number | 4197563530 |
| Mailing Telephone | 4197562122 |
| Mailing Fax Number | 4197563530 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2012-09-18 |
| Authorized Official Name | DR. DONALD LEE DEWALD (PRESIDENT) |
| Authorized Official Telephone | 4197562122 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2145691 | 05 | |
| OH | 2411170 | 05 | |
| OH | 2437625 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639215114 | Ohio Cancer Specialists | Internal Medicine | 31 E Main St, Suite 2, Shelby, OH 44875-1262 | 2007-01-30 |
| Street Address |
1125 ASPIRA CT |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906-4125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538147525 | Donald Lee Dewald | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-09 |
| 1588198279 | Katherine M Matthews | Pharmacist | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2017-04-19 |
| 1801333091 | Rachel Smith | Pharmacist | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2017-01-25 |
| 1073974564 | Linda Macfarlane | Nurse Practitioner | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2016-03-11 |
| 1730588955 | The Cleveland Clinic Foundation | Pharmacy | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2014-08-14 |
| 1366852824 | Joycelin F Canavan | Radiology | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2014-05-05 |
| 1902220387 | The Cleveland Clinic Foundation | Durable Medical Equipment & Medical Supplies | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2014-02-06 |
| 1902831688 | Douglas Robert Keyser | Radiology | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-07-11 |
| 1588602627 | Mhd Yaser Al-marrawi | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906 | 2006-06-02 |
| 1689644114 | Shahzad M Khan | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538147525 | Donald Lee Dewald | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-09 |
| 1205832375 | Robert Edwin Exten Jr. | Internal Medicine | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2005-06-23 |
| 1952694739 | Paula A. Mcbrine, M.d., P.C. | Internal Medicine | 205 Chauncy St, Mansfield, MA 02048-1202 | 2011-05-26 |
| 1700040490 | Dallas Oncology Consultants Pa | Internal Medicine | 2800 E Broad St, Suite 212, Mansfield, TX 76063-6409 | 2008-07-11 |
| 1689644114 | Shahzad M Khan | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-26 |
| 1972573848 | Saurabh Das | Internal Medicine | 1125 Aspira Ct, Mansfield, OH 44906-4125 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013315076 | Clermont County Cancer Center LLC | Internal Medicine | 4402 Hartman Ln, Batavia, OH 45103-1971 | 2014-12-08 |
| 1215353834 | Ahmed M Ghany | Internal Medicine | 100 W 3rd Ave Ste 150, Columbus, OH 43201-3260 | 2014-03-06 |
| 1972935716 | Stanley P Balcerzak | Internal Medicine | 3113 N 3 Bs and K Rd, Sunbury, OH 43074-9674 | 2013-08-03 |
| 1184056996 | Mohammad Ansari-dezfuli | Internal Medicine | 1700 Carriage Place, Gates Mills, OH 44040 | 2013-08-02 |
| 1043569486 | Virginia Ann Rhodes | Internal Medicine | 1557 Landsdale Cir, Twinsburg, OH 44087-3337 | 2012-08-30 |
| 1629324009 | Earl Nelson Metz | Internal Medicine | 226 E. Dublin Granville Rd., Worthington, OH 43085-3185 | 2012-08-03 |
| 1366715260 | John Kiess Kurtz | Internal Medicine | 3676 Kehrer Rd, Bucyrus, OH 44820-8624 | 2012-02-23 |
| 1922398049 | Vamsi Koduri | Internal Medicine | 4435 State Route 159, Chillicothe, OH 45601 | 2011-04-11 |
| 1528392297 | William H Sigalove | Internal Medicine | 130 Meadow Dr, Elyria, OH 44035-1838 | 2009-09-28 |
| 1922236017 | Amir Iqbal | Internal Medicine | 885 S Sawburg Ave, Suite 110, Alliance, OH 44601-5926 | 2009-06-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on OHIO CANCER SPECIALISTS.
| 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.