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General NPI Number Information
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NPI Number | 1023001823
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Entity Type | Individual
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Provider Name | MICHAEL A CROSS MD
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Gender | Male
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Dates
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Enumeration Date | 08/26/2005
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 2960 MACK RD STE 105
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City | FAIRFIELD
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State | OH
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Zip | 45014-5374
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Country | US
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Telephone | 513-751-2273
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Fax | 513-751-1840
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Provider Business Mailing Address
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Address Line | PO BOX 636324
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City | CINCINNATI
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State | OH
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Zip | 45263-6324
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Country | US
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Telephone | 859-301-4000
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Fax | 859-301-4001
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 35054699
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 01038729A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 25049
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License Number State | KY
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