STARK RADIATION ONCOLOGY INC. (NPI# 1578741971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578741971 |
Entity Type | Organization |
Organization Name | STARK RADIATION ONCOLOGY INC. |
Practice Address |
300 Medical Park Dr Dover OH 44622-2073 |
Mailing Address |
Po Box 80468 Canton OH 44708-0468 |
Practice Telephone | 3304542210 |
Practice Fax Number | 3304549397 |
Mailing Telephone | 3304542210 |
Mailing Fax Number | 3304549397 |
Enumeration Date | 2008-02-07 |
Last Update Date | 2008-12-08 |
Authorized Official Name | PHILIP ALAN SCHNEIDER (PRESIDENT) |
Authorized Official Telephone | 3304542210 |
Authorized Official Credential | M.D. |
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 | 2152030 | 05 | |
OH | RAILROAD MEDICARE PTAN | CG3181 | 01 |
Street Address |
300 MEDICAL PARK DR |
City | DOVER |
State | OH |
Zip Code | 44622-2073 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790728970 | Kathy M Jett | Nurse Practitioner | 300 Medical Park Dr, Suite 205, Dover, OH 44622-2073 | 2006-06-14 |
1457908683 | Tusc County Medical Specialist LLC | Internal Medicine | 300 Medical Park Dr, Suite 205, Dover, OH 44622-2073 | 2019-08-22 |
1114419140 | Kristina Marie Sablar | Counselor | 300 Medical Park Dr, Dover, OH 44622 | 2018-06-05 |
1043536220 | Tina Marie Alsept | Nurse Practitioner | 300 Medical Park Dr, Suite 103, Dover, OH 44622-2073 | 2010-04-14 |
1336329945 | Melissa Mutschelknaus | Nurse Practitioner | 300 Medical Park Dr, Suite 205, Dover, OH 44622-2073 | 2007-11-12 |
1518156074 | Tusc County Medical Specialties LLC | Internal Medicine | 300 Medical Park Dr, Suite 205, Dover, OH 44622-2073 | 2007-10-22 |
1912198516 | Tuscarawas Valley Urology, Ltd | Specialist | 300 Medical Park Dr, Suite 103, Dover, OH 44622-2073 | 2007-08-08 |
1487862918 | Pamela H Patton | Social Worker | 300 Medical Park Dr, Suite 201, Dover, OH 44622-2073 | 2007-05-18 |
1023113305 | Bryan Internal Medicine Specialties, Inc | Internal Medicine | 300 Medical Park Dr, 204, Dover, OH 44622-2073 | 2006-09-13 |
1588675490 | Michael Ralph Gigax | Urology | 300 Medical Park Dr, Ste 103, Dover, OH 44622 | 2006-08-10 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225508377 | Rosa Ann Cleaver | Nurse Practitioner | 205 Medical Park Drive, Dover, OH 44622 | 2018-12-03 |
1225528417 | Kimberly A Wetzel | Social Worker | 201 Medical Park Dr., Dover, OH 44622 | 2018-05-14 |
1598278293 | Linda Kimble | Registered Nurse | 204 S Bellview Ave, Dover, OH 44622 | 2017-11-16 |
1932628385 | Stacy Martin | Counselor | Tuscarawas County Alcohol and Addiction Program, 897 E. Iron Ave., Dover, OH 44622 | 2017-09-18 |
1689110918 | Jamie Renee' Wallace | Registered Nurse | 201 - Hospital Drive, Dover, OH 44622 | 2017-01-10 |
1205284577 | Jamey Harlan | Health Educator | 500 Boulevard, Dover, OH 44622 | 2016-05-27 |
1447689575 | Kelly Schneiders | Nurse Practitioner | 201 Medical Drive, Dover, OH 44622 | 2013-11-08 |
1891122214 | Christa Renee Hatfield-lewis | Counselor | 201 Hospital Drive, Dover, OH 44622 | 2013-09-30 |
1790032688 | Audio Hearing Aid Service LLC | Hearing Instrument Specialist | 2630 N. Wooster Ave., Dover, OH 44622 | 2012-08-09 |
1376818286 | Tracy Louise Turck | Licensed Practical Nurse | 920 Boulvard St, Dover, OH 44622 | 2012-03-12 |
Find all providers in zip 44622 |
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 |
---|---|---|---|---|
1326023102 | John E. Lahaniatis | Radiology | 640 S State St Fl 1, Dover, DE 19901-3530 | 2005-12-14 |
1073959920 | Jeffrey M Lemons | Radiology | 789 Central Ave, Dover, NH 03820 | 2013-05-20 |
1588912307 | Jeffrey Vincent Brower | Radiology | 789 Central Ave, Dover, NH 03820-2526 | 2012-08-28 |
1326148487 | Arul Mahadevan | Radiology | 789 Central Ave, Seacost Cancer Center, Dover, NH 03820-2526 | 2006-09-25 |
1942308655 | Himanshu Singh | Radiology | 789 Central Ave, Wentworth Douglass Hospital, Dover, NH 03820-2526 | 2006-09-20 |
1326144841 | Khanh Hong Nguyen | Radiology | 640 S State St Fl 1, Dover, DE 19901-3530 | 2006-09-15 |
1730285172 | Asa Joel Nixon | Radiology | 789 Central Ave, Dover, NH 03820-2526 | 2006-09-15 |
1770690471 | Su Kyong Metcalfe | Radiology | 789 Central Ave, Dover, NH 03820-2526 | 2006-08-25 |
1396768255 | David B. Suh | Radiology | 640 S State St Fl 1, Dover, DE 19901-3530 | 2006-07-25 |
1306893458 | Delaware Radiation Associates, Pa | Radiology | 793 S Queen St, Dover, DE 19904-3568 | 2006-05-27 |
Find all providers in DOVER |
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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.