Active NPI
Victor Demarco, MD
- Diagnostic Radiology Physician
- Chardon, OH
National Provider Identifier
1790778751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 35029419
- Practice address
- 13207 Ravenna Rd
Chardon, OH 44024-7032 - Phone
- (440) 285-6000
- Fax
- (216) 844-5922
- NPI assigned
- Aug 25, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 35029419 | OH | Primary |
Addresses
Primary practice location
13207 Ravenna Rd
Chardon, OH 44024-7032
Mailing address
24701 Euclid Ave
Third Floor
Euclid, OH 44117-1714
Phone (440) 285-6000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00412445 | Other | OH | RAILROAD MEDICARE |
| 0304914 | Other | OH | BCMH |
| 0326696 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35029419 | OH | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS. Hill & Thomas Co. | Diagnostic Radiology | Past | Accepting new patients |
| Regional Diagnostics LLC | Past | Accepting new patients | |
| University Primary Care Practices Inc | Past | Accepting new patients | |
| Regional Diagnostics LLC | Past | Accepting new patients | |
| University Primary Care Practices Inc | Diagnostic Radiology | Past | Accepting new patients |
| DRS. Hill & Thomas Co. | Past | Accepting new patients | |
| University Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- Radiology Clinic/Center
- Medina, OH
- NPI 1265544662
-
- Diagnostic Radiology Physician
- Willoughby, OH
- NPI 1568574952
Diagnostic Radiology
-
- Mammography Clinic/Center
- Mentor, OH
- NPI 1003830522
-
- Radiology Clinic/Center
- Painesville, OH
- NPI 1992881023
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1154375681
Diagnostic Radiology
-
- Urgent Care Clinic/Center
- North Olmsted, OH
- NPI 1467533885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1324339200000",
"number": "1790778751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "THIRD FLOOR",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "440-285-6000",
"fax_number": "216-844-5922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13207 RAVENNA RD",
"city": "CHARDON",
"state": "OH",
"postal_code": "440247032",
"telephone_number": "440-285-6000",
"fax_number": "216-844-5922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "VICTOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-25",
"last_updated": "2011-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35029419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00412445",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "0304914",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0326696",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.