Cleveland Radiation Oncology, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CLEVELAND RADIATION ONCOLOGY, INC

Practice address

5260 Smith Rd
Brookpark, OH 44142-1747

Phone

(216) 265-4580

NPI assigned

Sep 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jon PrescottNPI 1437141207

Title

Direct Owner

Phone

(440) 816-6015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jon S. Prescott, M.D.

  • Radiation Oncology Physician
  • Brookpark, OH
  • NPI 1437141207
  Medicare reassignment Care Compare group NPD Authorized official
• Adir Ludin, M.D.

  • Radiation Oncology Physician
  • Cleveland, OH
  • NPI 1679653166
  Medicare reassignment Care Compare group NPD
• Martin L. Ribovich, M.D.

  • Radiation Oncology Physician
  • Elyria, OH
  • NPI 1992797989
  Medicare reassignment Care Compare group NPD
• Joel H. Elconin, MD

  • Radiation Oncology Physician
  • Elyria, OH
  • NPI 1801899927
  Medicare reassignment NPD

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1457546475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 E COAST HWY",
            "address_2": "210",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252236",
            "telephone_number": "949-207-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 SMITH RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441421747",
            "telephone_number": "216-265-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND RADIATION ONCOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "PRESCOTT",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "DIRECT OWNER",
        "authorized_official_telephone_number": "440-816-6015",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayna Chernisky, OTR/L
• Riley Chochola
• Lindsey G Christian
• Robin Clark
• Cleveland Oxygen and Vestibular Therapy
• Stephanie Lorraine Coe
• Patrick Coleman, QMHS
• Robert Coleman, MD
• Julie Copenhaver, QMHS
• Lara Craven

• Specialist in Brookpark, OH
• Providers in Brookpark, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.