Provider Demographics
NPI:1518070739
Name:BUCKEYE RADIATION ONCOLOGY-CLEVELAND LLC
Entity Type:Organization
Organization Name:BUCKEYE RADIATION ONCOLOGY-CLEVELAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:FIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-258-8898
Mailing Address - Street 1:1440 HAWTHORNE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-1665
Mailing Address - Country:US
Mailing Address - Phone:614-258-8898
Mailing Address - Fax:614-258-8977
Practice Address - Street 1:19250 BAGLEY RD
Practice Address - Street 2:SUITE 106
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-3347
Practice Address - Country:US
Practice Address - Phone:614-258-8898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-04-63122085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHC02695Medicare UPIN