NPIMap

Organization Active NPI

Stark Radiation Oncology Inc.

  • Radiation Oncology Physician
  • Dover, OH
National Provider Identifier
1578741971
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
STARK RADIATION ONCOLOGY INC.
Practice address
300 Medical Park Dr
Dover, OH 44622-2073
Phone
(330) 454-2210
Fax
(330) 454-9397
NPI assigned
Feb 7, 2008
Last updated
Dec 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Authorized official

Name
Philip Alan Schneider, M.D.NPI 1275568974
Title
President
Phone
(330) 454-2210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X NU Primary

Addresses

Primary practice location

300 Medical Park Dr
Dover, OH 44622-2073

Mailing address

PO Box 80468
Canton, OH 44708-0468
Phone (330) 454-2210

Other identifiers 2

IdentifierTypeStateIssuer
2152030MedicaidOH
CG3181OtherOHRAILROAD MEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

300 Medical Park Dr
Ste 206
Dover, OH 44622
Phone (330) 364-8889

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228694400000",
    "number": "1578741971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80468",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080468",
            "telephone_number": "330-454-2210",
            "fax_number": "330-454-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PARK DR",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222073",
            "telephone_number": "330-454-2210",
            "fax_number": "330-454-9397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARK RADIATION ONCOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-12-08",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-454-2210",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2152030",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "CG3181",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2008; 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.