Individual provider Active NPI

Foroogh K Jazy, M.D.

  • Radiation Oncology Physician
  • Batavia, OH
National Provider Identifier
1811974058
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
35. 035560 Issued in OH
Practice address
3020 Hospital Dr
Batavia, OH 45103-1962
Phone
(513) 984-6786
Fax
(513) 984-0622
NPI assigned
Dec 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 35. 035560 OH Primary

Addresses

Primary practice location

3020 Hospital Dr
Batavia, OH 45103-1962

Mailing address

8450 Bluecut LN
Cincinnati, OH 45243-1162
Phone (513) 820-2414

Other identifiers 1

IdentifierTypeStateIssuer
0287694MedicaidOH

Other names 1

  • Foroogh K Jazy Professional name

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

LicenseStateTypeSpecialty
35. 035560OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TD Oncology Services LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1811974058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8450 BLUECUT LN",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452431162",
            "telephone_number": "513-820-2414",
            "fax_number": "513-984-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 HOSPITAL DR",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031962",
            "telephone_number": "513-984-6786",
            "fax_number": "513-984-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAZY",
        "first_name": "FOROOGH",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-29",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35. 035560",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0287694",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FOROOGH",
            "last_name": "JAZY",
            "middle_name": "K",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.