NPIMap

Organization Active NPI

Ohio Cancer Specialists

  • Hematology & Oncology Physician
  • Mansfield, OH
National Provider Identifier
1316917040
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
OHIO CANCER SPECIALISTS
Practice address
1125 Aspira CT
Mansfield, OH 44906-4125
Phone
(419) 756-2122
Fax
(419) 756-3530
NPI assigned
Jan 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Donald Lee Dewald, M.D.
Title
President
Phone
(419) 756-2122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RH0003X Primary
Radiation Oncology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0001X

Addresses

Primary practice location

1125 Aspira CT
Mansfield, OH 44906-4125

Mailing address

1125 Aspira CT
Mansfield, OH 44906-4125
Phone (419) 756-2122

Other identifiers 3

IdentifierTypeStateIssuer
2437625MedicaidOH
2411170MedicaidOH
2145691MedicaidOH

National Provider Directory

National Provider Directory

Locations

371 Cline Ave
Mansfield, OH 44907
Phone (419) 521-2900

Practitioners & affiliated clinicians

Practitioners 2

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": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1316917040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 ASPIRA CT",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064125",
            "telephone_number": "419-756-2122",
            "fax_number": "419-756-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 ASPIRA CT",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449064125",
            "telephone_number": "419-756-2122",
            "fax_number": "419-756-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO CANCER SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-25",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "DEWALD",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-756-2122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2437625",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411170",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2145691",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.