Organization Active NPI

North Coast Cancer Care, Inc

  • Hematology & Oncology Physician
  • Clyde, OH
National Provider Identifier
1598801540
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
NORTH COAST CANCER CARE, INC
Practice address
509 W McPherson Hwy
Clyde, OH 43410-1107
Phone
(419) 547-9500
Fax
(419) 547-9400
NPI assigned
Jan 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven Gale Roshon, M.D.NPI 1174500383
Title
President
Phone
(419) 626-9090

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
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0003X Primary

Addresses

Primary practice location

509 W McPherson Hwy
Clyde, OH 43410-1107

Mailing address

509 W McPherson Hwy
Clyde, OH 43410-1107
Phone (419) 547-9500

National Provider Directory

National Provider Directory

Locations

509 W McPherson Hwy
Clyde, OH 43410
Phone (419) 547-0524

Practitioners & affiliated clinicians

Practitioners 1

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": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598801540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W MCPHERSON HWY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101107",
            "telephone_number": "419-547-9500",
            "fax_number": "419-547-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W MCPHERSON HWY",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434101107",
            "telephone_number": "419-547-9500",
            "fax_number": "419-547-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST CANCER CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROSHON",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "GALE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-626-9090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.