DR. ROGER T KUCWAY (NPI# 1417049818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417049818 |
| Entity Type | Individual |
| Full Name | DR. ROGER T KUCWAY |
| Credential | MD |
| Practice Address |
800 Stewart Rd Monroe MI 48162-4226 |
| Mailing Address |
1 Seagate # 800 Toledo OH 43604-1558 |
| Practice Telephone | 7342401800 |
| Mailing Telephone | 7342401800 |
| Mailing Fax Number | 4198247359 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2020-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35.090157 | OH | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
4301070053 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MEDICARE | 0N24000017 | 01 |
| OH | RR MEDICARE | P00422855 | 01 |
| MI | RR MEDICARE | P00639054 | 01 |
| MI | MI MEDICAID- OH LOCATIONS | 5201594 | 01 |
| OH | 2361386 | 05 | |
| MI | 5182210 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3000 Regency Ct, Ste 207, Toledo, OH 436233092 | 4194710493 | 4194740390 |
| 5300 Harroun Rd Ste 10, Sylvania, OH 435602146 | 4198241952 | 4198240344 |
| Street Address |
800 STEWART RD |
| City | MONROE |
| State | MI |
| Zip Code | 48162-4226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641397 | Charu L Trivedi | Internal Medicine | 800 Stewart Rd, Suite B, Monroe, MI 48162-4226 | 2005-07-05 |
| 1376997551 | Mercy Memorial Hospital Corporation | Specialist | 800 Stewart Rd, Monroe, MI 48162-4226 | 2016-04-14 |
| 1760774681 | Monroe Cancer Center | Specialist | 800 Stewart Rd, Monroe, MI 48162-4226 | 2011-05-11 |
| 1356493118 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Rd, Suite B, Monroe, MI 48162-4226 | 2007-01-18 |
| 1669423455 | Toledo Clinic Incorporated | Internal Medicine | 800 Stewart Rd, Suite B, Monroe, MI 48162-4226 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568016012 | Silke A Goudos | Nurse Practitioner | 730 N Macomb Street #200, Monroe, MI 48162 | 2019-08-01 |
| 1134781412 | Joshua Dwaine Lentz | Family Medicine | Promedica Monroe Regional Hospital, 650 Stewart Road, Monroe, MI 48162 | 2019-07-08 |
| 1740769702 | Carissa Pollock | Behavioral Analyst | 2086 S. Custer Rd., Monroe, MI 48162 | 2018-08-10 |
| 1710488440 | Stacy Michael Lucio | Nurse Practitioner | 901 N Macomb St Ste 109, Monroe, MI 48162 | 2018-02-27 |
| 1407239882 | Lisa Gilbert Peleman | Student in an Organized Health Care Education/Training Program | Promedica Monroe Regional Hospital Family Medicine Res, 650 Stewart Rd, Monroe, MI 48162 | 2015-07-03 |
| 1427430552 | Cheryl Fosgate | Counselor | 4350 N Monroe St, Monroe, MI 48162 | 2015-06-25 |
| 1538551460 | Convenient Mr PC | Dentist | 7500 N. Telegraph Rd., Monroe, MI 48162 | 2015-03-02 |
| 1659614022 | Mercy Memorial Hospital Corporation | Family Medicine | 650 Steward Road, Monroe, MI 48162 | 2013-04-03 |
| 1073872743 | Justin L Chamberlain | Surgery | 730 N Macomb St Ste 329, Monroe, MI 48162 | 2012-05-15 |
| 1639462674 | Toledo Clinic Incorporated | Durable Medical Equipment & Medical Supplies | 800 Stewart Road, Suite B, Monroe, MI 48162 | 2011-05-24 |
| Find all providers in zip 48162 | ||||
| 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 |
|---|---|---|---|---|
| 1437442472 | Ross Edward Bland | Radiology | 411 Calypso Street, Monroe, LA 71201 | 2011-05-24 |
| 1720053135 | Miro-monroe | Radiology | 1085 N Macomb St, Monroe, MI 48162-3126 | 2006-02-20 |
| 1790759777 | Madhubala Chatur Patel | Radiology | 1085 N Macomb St, Monroe, MI 48162-3126 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1811444235 | Gwendolyn Henderson Parker | Radiology | 48165 Liberty Dr, Shelby Twp, MI 48315-4061 | 2016-09-01 |
| 1376097733 | Munson Medical Center | Radiology | 217 S Madison Avenue, Traverse City, MI 49684-2320 | 2016-08-15 |
| 1972985737 | Andrew Thompson | Radiology | 44378 Dequindre Rd Fl 1, Sterling Heights, MI 48314-1003 | 2015-06-29 |
| 1093112799 | Wmro LLC | Radiology | 5950 Metro Way, Wyoming, MI 49519 | 2014-11-24 |
| 1932533692 | Compass Healthcare, Plc | Radiology | 2175 Coolidge Rd, East Lansing, MI 48823-1379 | 2013-08-29 |
| 1083903256 | Omar Hesham Gayar | Radiology | 4100 Beecher Rd Ste A, Flint, MI 48532-3661 | 2011-03-28 |
| 1881906519 | Sanath Kumar | Radiology | 18101 Oakwood Blvd Ste 411, Oakwood Hospital, Dearborn, MI 48124-4089 | 2010-07-10 |
| 1376772574 | Matthew W Packard | Radiology | 145 Michigan St Ne - Suite 2200, Lemmen-holton Cancer Pavilion (radiation/oncology), Grand Rapids, MI 49503 | 2009-07-08 |
| 1053575118 | North Macomb Mrt Center LLC | Radiology | 17900 23 Mile Road, Macomb Twp, MI 48042 | 2008-07-17 |
| 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.