Ryan Jin (NPI# 1568671113, PAC ID# 6002989282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1568671113 |
| PAC ID by PECOS | 6002989282 |
| Professional Enrollment ID | I20080722000011 |
| Full Name | Ryan Jin |
| Organization Legal Name | TOLEDO RADIATION ONCOLOGY, INC |
| Address |
524 W High St Bryan OH 43506-1618 |
| Phone Number | 4196369800 |
| Gender | M |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 9234173238 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230005 | EMMA L BIXBY MEDICAL CENTER |
| 360074 | FLOWER HOSPITAL |
| 360112 | MERCY ST VINCENT MEDICAL CENTER |
| 360068 | PROMEDICA TOLEDO HOSPITAL |
| 231334 | PROMEDICA HERRICK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 777 Kimole Ln, Adrian, MI 49221-1478 | 5172650292 | TOLEDO RADIATION ONCOLOGY, PLC |
| 524 W High St, Bryan, OH 43506-1618 | 4196369800 | TOLEDO RADIATION ONCOLOGY, INC |
| 5805 Monclova Rd, Maumee, OH 43537-1839 | 4198915600 | TOLEDO RADIATION ONCOLOGY, INC |
| 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 | 5673681520 | TOLEDO RADIATION ONCOLOGY, INC |
| Organization Legal Name | TOLEDO RADIATION ONCOLOGY, INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger T Kucway | Radiation Oncology | Toledo Radiation Oncology, Inc | 524 W High St, Bryan, OH 43506-1618 |
| Wainwright A Jaggernauth | Radiation Oncology | Toledo Radiation Oncology, Inc | 12623 Eckel Junction Rd, Perrysburg, OH 43551-1304 |
| Wayne S Court | Radiation Oncology | Toledo Radiation Oncology, Inc | 524 W High St, Bryan, OH 43506-1618 |
| Street Address |
524 W HIGH ST |
| City | BRYAN |
| State | OH |
| Zip | 43506-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Roger T Kucway | Radiation Oncology | Toledo Radiation Oncology, Inc | 524 W High St, Bryan, OH 43506-1618 |
| Wayne S Court | Radiation Oncology | Toledo Radiation Oncology, Inc | 524 W High St, Bryan, OH 43506-1618 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annemarie Adkins | Clinical Social Worker | Recovery Services of Northwest Ohio Inc | 200 Van Gundy Dr, Bryan, OH 43506-1153 |
| Bradley T Pittman | Maxillofacial Surgery | 201 Van Gundy Dr, Suite 1, Bryan, OH 43506-1179 | |
| Samuel R Pesin | Ophthalmology | Cei Physicians Psc, LLC | 201 Van Gundy Dr, Bldg B, Bryan, OH 43506-1179 |
| Judith Ann Guess | Psychologist, Clinical | 126 N Main St, Bryan, OH 43506-1316 | |
| Tara L Richmond | Optometry | Eyecare Services Inc | 1313 W High St, Bryan, OH 43506-1545 |
| Robert L Hill | Optometry | Eyecare Services Inc | 1313 W High St, Bryan, OH 43506-1545 |
| Andrea J Yahraus | Optometry | Eyecare Services Inc | 1313 W High St, Bryan, OH 43506-1545 |
| Keith A Woodard | Optometry | Eyecare Services Inc | 1313 W High St, Bryan, OH 43506-1545 |
| Brent Charles Hesselschwardt | Chiropractic | Fountain City Chiropractic and Rehabilitation, Inc | 1525 W High St, Bryan, OH 43506-1593 |
| Ronald N Brown | Ophthalmology | Drs Ravin Birndorf and Ravin Inc | 100 S Lynn St, Bryan, OH 43506-1653 |
| Find all physicians in zip 43506 | |||
| City | BRYAN |
| Zip Code | 43506 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | BRYAN + RADIATION ONCOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.