SKPR Oh 1 LLC

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

License

35053209 Issued in OH

Legal business name

SKPR OH 1 LLC

Doing business as

Scioto County Cancer Center

Practice address

915 10TH St
Portsmouth, OH 45662-4152

Phone

(937) 386-0000

Fax

(937) 386-0009

NPI assigned

Oct 18, 2010

Organization subpart

No

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

Authorized official

Name

Prakash B Patel, M.D.

Title

Sole Member/Manager

Phone

(937) 386-0000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Scioto County Cancer Center Doing business as

Locations

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1740590397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 MEDICAL CENTER DR",
            "city": "SEAMAN",
            "state": "OH",
            "postal_code": "456798006",
            "telephone_number": "937-386-0000",
            "fax_number": "937-386-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 10TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624152",
            "telephone_number": "937-386-0000",
            "fax_number": "937-386-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKPR OH 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "SOLE MEMBER/MANAGER",
        "authorized_official_telephone_number": "937-386-0000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "OH",
            "license": "35053209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3100389",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Scioto County Cancer Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jason Skaggs
• Sarah Skaggs
• Terri E Skaggs
• Skilled Nursing, Inc.
• Cheyenna Laiken Skinner
• Nicole Slack
• Windy Slaughter
• Matthew R Sloan
• Roman S Slone, PRS
• Melissa Faye Sluder

• Radiation Oncology Clinic/Center in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Radiation Oncology Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; 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.