Active NPI
Pearl J Compaan, MD
- Radiation Oncology Physician
- Cincinnati, OH
National Provider Identifier
1063469211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 35032205
- Practice address
- 4415 Aicholtz Rd Ste 400B
Cincinnati, OH 45245-1506 - Phone
- (513) 752-8100
- Fax
- (512) 752-8103
- NPI assigned
- May 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 35032205 | OH | Primary |
Addresses
Primary practice location
4415 Aicholtz Rd Ste 400B
Cincinnati, OH 45245-1506
Mailing address
PO Box 10050
Manhattan Beach, CA 90267-7550
Phone (310) 335-4056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1287685 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35032205 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Precision Radiotherapy, LLC | Radiation Oncology | Past | Accepting new patients |
| Middletown Cancer Center | Radiation Oncology | Past | Accepting new patients |
| Oncology Partners Network LTD | Radiation Oncology | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Radiation Oncology Physician
- Middletown, OH
- NPI 1821048406
-
- Medical Oncology Physician
- Cincinnati, OH
- NPI 1669401303
Radiation Oncology
-
- Radiation Oncology Physician
- West Chester, OH
- NPI 1417020082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1063469211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10050",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902677550",
"telephone_number": "310-335-4056",
"fax_number": "310-335-4098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4415 AICHOLTZ RD STE 400B",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452451506",
"telephone_number": "513-752-8100",
"fax_number": "512-752-8103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMPAAN",
"first_name": "PEARL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "35032205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1287685",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cincinnati, OH
- Community Surgical Supply of Toms River, Inc.
- Community Urgent Care Plus
- Community Wellness Centre
- Claudia Marie Como
- Comp Serv Health Resources International
- Companion Individualized Aide LLC
- Companion Transportation Services, LLC
- Companions R US
- Compass Healthcare Inc
- Compassion Assistance Nursing Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.