Organization Active NPI

Medical Oncology Associates, Inc.

  • Oncology Clinic/Center
  • Ashtabula, OH
National Provider Identifier
1396742557
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
35 . 053339 Issued in OH
Legal business name
MEDICAL ONCOLOGY ASSOCIATES, INC.
Practice address
2412 Lake Ave
Ashtabula, OH 44004-4977
Phone
(440) 997-7785
Fax
(440) 998-0652
NPI assigned
Jul 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Dr. Mohammad Ali Varghai, M.D.
Title
President
Phone
(440) 997-7785

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 35 . 053339 OH
Oncology Clinic/Center 261QX0200X 35 . 053339 OH Primary

Addresses

Primary practice location

2412 Lake Ave
Ashtabula, OH 44004-4977

Mailing address

29349 Gates Mills Blvd
Pepper Pike, OH 44124-4651
Phone (216) 831-6493

Other identifiers 2

IdentifierTypeStateIssuer
0858602MedicaidOH
0971355MedicaidOH

National Provider Directory

National Provider Directory

Locations

2412 Lake Ave
Ashtabula, OH 44004
Phone (440) 994-7600

29001 Cedar Rd
Ste 655
Lyndhurst, OH 44124
Phone (440) 249-4455

NPI Registry JSON

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1396742557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29349 GATES MILLS BLVD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441244651",
            "telephone_number": "216-831-6493",
            "fax_number": "216-831-6413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044977",
            "telephone_number": "440-997-7785",
            "fax_number": "440-998-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ONCOLOGY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-02",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "VARGHAI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-997-7785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35 . 053339",
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "OH",
            "license": "35 . 053339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0858602",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0971355",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.