NPIMap

Organization Active NPI

North Coast Cancer Care, Inc

  • Hematology & Oncology Physician
  • Sandusky, OH
National Provider Identifier
1174552913
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
NORTH COAST CANCER CARE, INC
Practice address
417 Quarry Lakes Dr.
Sandusky, OH 44870-4132
Phone
(419) 626-9090
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven Gale Roshon, M.D.NPI 1174500383
Title
President
Phone
(419) 626-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology PharmacistGroup: 193200000X MULTI-SPECIALTY GROUP 1835X0200X OH
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X OH Primary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X OH
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X OH

Addresses

Primary practice location

417 Quarry Lakes Dr.
Sandusky, OH 44870-4132

Mailing address

417 Quarry Lakes Dr.
Sandusky, OH 44870-4132
Phone (419) 626-9090

Other identifiers 1

IdentifierTypeStateIssuer
0408348MedicaidOH

National Provider Directory

National Provider Directory

Locations

417 Quarry Lakes Dr
Sandusky, OH 44870
Phone (419) 609-2845

1101 Decatur St
Sandusky, OH 44870
Phone (330) 656-5800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273190400000",
    "number": "1174552913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 QUARRY LAKES DR.",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704132",
            "telephone_number": "419-626-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 QUARRY LAKES DR.",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448704132",
            "telephone_number": "419-626-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST CANCER CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2010-05-07",
        "status": "A",
        "authorized_official_last_name": "ROSHON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-626-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "1835X0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist, Oncology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0408348",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.