Organization Active NPI

Clermont Radiation Oncology Center

  • Radiation Oncology Physician
  • Cincinnati, OH
National Provider Identifier
1598828188
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
350353745 Issued in OH
Legal business name
CLERMONT RADIATION ONCOLOGY CENTER
Practice address
7691 Five Mile Rd
Suite 203
Cincinnati, OH 45230
Phone
(513) 421-3504
Fax
(513) 231-7055
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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

Authorized official

Name
Dr. Wagih M Shehata, M.D
Title
President
Phone
(513) 421-3504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X 350353745 OH Primary

Addresses

Primary practice location

7691 Five Mile Rd
Suite 203
Cincinnati, OH 45230

Mailing address

Dept 2289
Cincinnati, OH 45263
Phone (513) 421-3504

Other identifiers 1

IdentifierTypeStateIssuer
0107404MedicaidOH

National Provider Directory

National Provider Directory

Locations

5049 Crookshank Rd
Cincinnati, OH 45238
Phone (513) 451-0097

7691 5 Mile Rd
Ste 203
Cincinnati, OH 45230
Phone (513) 381-2455

4415 Aicholtz Rd
Ste 400
Cincinnati, OH 45245
Phone (513) 752-8100

Dept 2289
Cincinnati, OH 45263

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234137600000",
    "number": "1598828188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 2289",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45263",
            "telephone_number": "513-421-3504",
            "fax_number": "513-231-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7691 FIVE MILE RD",
            "address_2": "SUITE 203",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45230",
            "telephone_number": "513-421-3504",
            "fax_number": "513-231-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT RADIATION ONCOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2009-02-09",
        "status": "A",
        "authorized_official_last_name": "SHEHATA",
        "authorized_official_first_name": "WAGIH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-421-3504",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "350353745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107404",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.