MEDICARE: BUCKEYE RADIATION ONCOLOGY-CLEVELAND LLC

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	35-04-6312	OH

General Provider Information

NPI Number	:	1518070739
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKEYE RADIATION ONCOLOGY-CLEVELAND LLC

Provider Business Mailing Address
First Line	:	1440 HAWTHORNE AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43203-1665
Country	:	US
Telephone Number	:	614-258-8898
Fax Number	:	614-258-8977

Provider Business Practice Location Address
First Line	:	19250 BAGLEY RD
Second Line	:	SUITE 106
City	:	CLEVELAND
State	:	OH
Zip	:	44130-3347
Country	:	US
Telephone Number	:	614-258-8898
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROBERT L FIELD
Credential	:	M.D.
Telephone Number	:	614-258-8898

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	08/22/2020

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