NPIMap

Organization Active NPI

Permian Radiation Oncology

Doing business as Radiation Oncology Assoc Inc

  • Radiation Oncology Physician
  • Youngstown, OH
National Provider Identifier
1275679920
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35 05 3495 Issued in OH
Legal business name
PERMIAN RADIATION ONCOLOGY
Doing business as
Radiation Oncology Assoc Inc
Practice address
500 Gypsy Lane
Youngstown, OH 44501-0240
Phone
(330) 884-4400
Fax
(330) 788-8871
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eric Svenson, MDNPI 1669526398
Title
President
Phone
(330) 788-7137

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 35 05 3495 OH Primary

Addresses

Primary practice location

500 Gypsy Lane
Youngstown, OH 44501-0240

Mailing address

PO Box 3776
Youngstown, OH 44513-3776
Phone (330) 788-7137

Other identifiers 1

IdentifierTypeStateIssuer
0687163MedicaidOH

Other names 1

  • Radiation Oncology Assoc Inc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275679920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3776",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445133776",
            "telephone_number": "330-788-7137",
            "fax_number": "330-788-8871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GYPSY LANE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445010240",
            "telephone_number": "330-884-4400",
            "fax_number": "330-788-8871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMIAN RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SVENSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-788-7137",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35 05 3495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0687163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radiation Oncology Assoc Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.