Provider Demographics
NPI:1336261668
Name:RADIATION ONCOLOGY PHYSICIANS LLC
Entity Type:Organization
Organization Name:RADIATION ONCOLOGY PHYSICIANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:CROY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-376-0928
Mailing Address - Street 1:161 N FORGE ST
Mailing Address - Street 2:SUITE G90
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1468
Mailing Address - Country:US
Mailing Address - Phone:330-376-0928
Mailing Address - Fax:
Practice Address - Street 1:161 N FORGE ST
Practice Address - Street 2:SUITE G90
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1468
Practice Address - Country:US
Practice Address - Phone:330-376-0928
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2009-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0672839Medicaid
OH0672839Medicaid
OH9340323Medicare PIN
OH9340321Medicare PIN