MEDICARE: MARION REGIONAL CANCER CENTER

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	2085R0001X	Radiation Oncology Physician		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	000000365106	OTHER	OH	ANTHEM BCBS

General Provider Information

NPI Number	:	1447236500
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARION REGIONAL CANCER CENTER

Provider Business Mailing Address
First Line	:	PO BOX 182255
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43218-2255
Country	:	US
Telephone Number	:	614-430-5712
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 CRESCENT HEIGHTS RD
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43302-6406
Country	:	US
Telephone Number	:	740-387-6722
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. MIKE WEIR
Credential	:
Telephone Number	:	740-387-7200

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	07/21/2022

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Directions to “MARION REGIONAL CANCER CENTER ” Practice Location

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