EASTGATE CANCER CENTER LLC – NPI #1316999337
Radiology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

EASTGATE CANCER CENTER LLC is a radiologist located in CINCINNATI, OH. NPPES has assigned the NPI number 1316999337 to EASTGATE CANCER CENTER LLC on May 17, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2085R0001X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Radiation Oncology

The NPI profile was previously updated about 18 years ago on Jul 09, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EASTGATE CANCER CENTER LLC below.

NPI Profile for
EASTGATE CANCER CENTER LLC

NPI Number
1316999337
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EASTGATE CANCER CENTER LLC
Primary location
4415 AICHOLTZ RD
CINCINNATI, OH 45245-1506
Phone: (513) 752-8100 Fax:
Mailing address
PO BOX 10050
MANHATTAN BEACH, CA 90267-7550
Phone: (310) 335-4056 Fax:
Organization Subpart
No
Authorized Official
WAGIH SHEHATA
MD, CEO
Phone: (513) 752-8100
Updated
Identifiers

Identifiers for EASTGATE CANCER CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERRR MEDICAREOHDE8274
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0001X
- Radiology / Radiation Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.