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1336133685

NPI Code Detail

MEDICARE: DR. JOHN F SACCO MD

MEDICARE: DR. JOHN F SACCO MD

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
1	207R00000X	Internal Medicine Physician	35058540	OH
2	2085R0001X	Radiation Oncology Physician	26204	KY
3	2085R0001X	Radiation Oncology Physician	01037124A	IN
4	2085R0001X	Radiation Oncology Physician	35058540	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1336133685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN F SACCO MD

Provider Business Mailing Address
First Line	:	5053 WOOSTER RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-2326
Country	:	US
Telephone Number	:	513-751-2145
Fax Number	:	513-751-2138

Provider Business Practice Location Address
First Line	:	3301 MERCY HEALTH BLVD STE 100
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-1108
Country	:	US
Telephone Number	:	513-751-2145
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2005
Last Update Date	:	07/02/2024

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Directions to “ DR. JOHN F SACCO MD” Practice Location

Language	Start Address	Practice Location

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