Individual provider Active NPI

Chuck C Cho, M.D.

  • Radiation Oncology Physician
  • Newark, OH
National Provider Identifier
1528069945
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35050125 Issued in OH
Practice address
115 McMillen Dr
Newark, OH 43055-1808
Phone
(740) 344-3100
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35050125 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

Other identifiers 1

IdentifierTypeStateIssuer
0851716MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20101209001290 OH Practitioner - Radiation Oncology 5193617645 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35050125OHMDRadiation Oncology Physician
35076026OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Oncology Radiation Oncology CurrentSince Jul 21, 2024 Accepting new patients
Newark Radiation Oncology, Inc. Radiation Oncology CurrentSince Jun 25, 1996 Accepting new patients
Central Ohio Radiation Oncology, Inc. Radiation Oncology Past Accepting new patients

Locations

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

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1528069945",
    "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": "740-344-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHO",
        "first_name": "CHUCK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35050125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0851716",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.