Individual provider Active NPI

Eric C Rost, MD

  • Radiation Oncology Physician
  • Reno, NV
National Provider Identifier
1407839103
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
ME55000 Issued in FL
Practice address
255 Timbercreek CT
Reno, NV 89511-2748
Phone
(775) 343-9368
NPI assigned
Nov 28, 2005
Last updated
Aug 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X ME55000 FL Primary
Radiation Oncology Physician 2085R0001X 9241 NV

Addresses

Primary practice location

255 Timbercreek CT
Reno, NV 89511-2748

Mailing address

255 Timbercreek CT
Reno, NV 89511-2748
Phone (775) 343-9368

Other identifiers 2

IdentifierTypeStateIssuer
11180529OtherCAQH
1407839103MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040823000234 FL Practitioner - Radiation Oncology 3779562632
I20160113002244 OH Practitioner - Radiation Oncology 3779562632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Somc Medical Care Foundation, Inc. CurrentSince Feb 19, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. Radiation Oncology CurrentSince Feb 19, 2018 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
California Skin Institute, a Medical Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Shands Teaching Hospital and Clinics Inc Past Accepting new patients
North Florida Cancer Center Live Oak LLC Radiation Oncology Past Accepting new patients

Locations

1121 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 356-7490

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1407839103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 TIMBERCREEK CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112748",
            "telephone_number": "775-343-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 TIMBERCREEK CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112748",
            "telephone_number": "775-343-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROST",
        "first_name": "ERIC",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "FL",
            "license": "ME55000",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NV",
            "license": "9241",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11180529",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407839103",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.