Organization Active NPI

Crookshank Cancer Center LTD

  • Radiation Oncology Physician
  • Cincinnati, OH
National Provider Identifier
1205887015
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CROOKSHANK CANCER CENTER LTD
Practice address
5049 Crookshank Rd
Cincinnati, OH 45238-3399
Phone
(513) 451-0097
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Dr. Wagih Shehata, MD
Title
Ceo, MD
Phone
(513) 451-0097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

5049 Crookshank Rd
Cincinnati, OH 45238-3399

Mailing address

PO Box 10050
Manhattan Beach, CA 90267-7550
Phone (513) 451-0097

Other identifiers 1

IdentifierTypeStateIssuer
DE5975OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

3000 Hospital Dr
Ste 150
Batavia, OH 45103

5049 Crookshank Rd
Ste G5
Cincinnati, OH 45238
Phone (513) 451-0097

Practitioners & affiliated clinicians

Practitioners 1

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": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1205887015",
    "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": "513-451-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5049 CROOKSHANK RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452383399",
            "telephone_number": "513-451-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROOKSHANK CANCER CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "WAGIH",
        "authorized_official_title_or_position": "CEO, MD",
        "authorized_official_telephone_number": "513-451-0097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE5975",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.

Verify at the official NPI Registry.