Clark Radiation Oncology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CLARK RADIATION ONCOLOGY

Practice address

148 W North St
Springfield, OH 45504-2547

Phone

(937) 323-5425

Fax

(937) 323-5495

NPI assigned

Jul 14, 2006

Organization subpart

No

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

Authorized official

Name

Sandra Victor

Title

President

Phone

(937) 323-5425

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1801812953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 W NORTH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042547",
            "telephone_number": "937-323-5425",
            "fax_number": "937-323-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 W NORTH ST",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455042547",
            "telephone_number": "937-323-5425",
            "fax_number": "937-323-5495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "VICTOR",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-323-5425"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "9920792",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clark County Dialysis Facility, Inc.
• Clark County Educational Service Center
• Clark County Educational Service Center
• Clark County Sheriff'S Office
• Clark Dental Care Inc
• Clark-Shawnee Local Schools
• Amanda Lynn Clark, RN
• Eric Clark
• Jennifer Clark
• Kandice Clark

• Specialist in Springfield, OH
• Providers in Springfield, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.