NPIMap

Organization Active NPI

Newark Radiation Oncology, Inc.

  • Radiation Oncology Physician
  • Newark, OH
National Provider Identifier
1497739478
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
NEWARK RADIATION ONCOLOGY, INC.
Practice address
115 McMillen Dr
Newark, OH 43055-1808
Phone
(740) 687-8550
Fax
(740) 687-8959
NPI assigned
Dec 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Nancy Hudnall
Title
Practice Manager
Phone
(740) 344-3100

Specialties & licenses 1

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

Addresses

Primary practice location

115 McMillen Dr
Newark, OH 43055-1808

Mailing address

115 McMillen Dr
Newark, OH 43055-1808
Phone (740) 344-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329000811 OH Part B Supplier - Clinic/Group Practice 3678465168 Receives reassigned benefits from 1 practitioner
Practice locations: Newark, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1133481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497739478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551808",
            "telephone_number": "740-344-3100",
            "fax_number": "740-344-5793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MCMILLEN DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551808",
            "telephone_number": "740-687-8550",
            "fax_number": "740-687-8959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWARK RADIATION ONCOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "HUDNALL",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "740-344-3100"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.