Provider Demographics
NPI:1437130796
Name:HALE, E. RONALD (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:E.
Middle Name:RONALD
Last Name:HALE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3535 SOUTHERN BLVD
Mailing Address - Street 2:RADIATION ONCOLOGY DEPT.
Mailing Address - City:KETTERING
Mailing Address - State:OH
Mailing Address - Zip Code:45429-1221
Mailing Address - Country:US
Mailing Address - Phone:937-395-8646
Mailing Address - Fax:937-522-8100
Practice Address - Street 1:3535 SOUTHERN BLVD
Practice Address - Street 2:RADIATION ONCOLOGY DEPT.
Practice Address - City:KETTERING
Practice Address - State:OH
Practice Address - Zip Code:45429-1221
Practice Address - Country:US
Practice Address - Phone:937-395-8646
Practice Address - Fax:937-522-8100
Is Sole Proprietor?:No
Enumeration Date:2005-11-14
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH914182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2868768Medicaid
OH4242543Medicare PIN
OH2868768Medicaid