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NPI Code Detail

MEDICARE: EASTERN WOODS RADIATION ONCOLOGY

MEDICARE: EASTERN WOODS RADIATION ONCOLOGY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0001XRadiation Oncology Physician

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2DA1414OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205862927
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTERN WOODS RADIATION ONCOLOGY
Provider Business Mailing Address
First Line : PO BOX 330
Second Line :
City : TOLEDO
State : OH
Zip : 43697-0330
Country : US
Telephone Number : 614-430-5712
Fax Number :
Provider Business Practice Location Address
First Line : 15990 MEDICAL DR S
Second Line :
City : FINDLAY
State : OH
Zip : 45840-8894
Country : US
Telephone Number : 419-423-4500
Fax Number : 419-427-0212
Authorized Official
Title or Position : PRESIDENT
Name : STEPHEN T LUTZ
Credential : MD
Telephone Number : 419-423-3703
Provider Enumeration Date : 06/24/2006
Last Update Date : 07/20/2015

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1285611038 — DR. STEPHEN T LUTZ MD
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1619183258 — HEMATOLOGY-ONCOLOGY SPECIALISTS OF NORTHWEST OHIO INC
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1629211933 — DR. BRITT HOLDERNESS OLMSTED M.D.
Practice Location Address:
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1710114145 — DR. APOORVA CHAWLA M.D.
Practice Location Address:
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Directions to “EASTERN WOODS RADIATION ONCOLOGY ” Practice Location

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