CANCER CARE GROUP, P.C. (NPI# 1124079850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124079850 |
| Entity Type | Organization |
| Organization Name | CANCER CARE GROUP, P.C. |
| Practice Address |
2400 17th St Columbus IN 47201-5351 |
| Mailing Address |
Po Box 78000 Dept 78725 Detroit MI 48278-0725 |
| Practice Telephone | 8123765544 |
| Practice Fax Number | 8123765930 |
| Mailing Telephone | 3177151800 |
| Mailing Fax Number | 3177156200 |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | THOMAS C. DUGAN (PRESIDENT) |
| Authorized Official Telephone | 3177151800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548439938 | Cancer Care Group, P.C. | Radiology | 1600 Lafayette Rd, Crawfordsville, IN 47933-1031 | 2008-02-29 |
| 1659491132 | Cancer Care Group, P.C. | Radiology | 6100 W 96th St Ste 125, Indianapolis, IN 46278-6006 | 2007-03-30 |
| 1851411946 | Cancer Care Group, P.C. | Radiology | 11725 Illinois Street, Suite Ll050, Carmel, IN 46032-3008 | 2007-03-30 |
| 1447429832 | Cancer Care Group, P.C. | Radiology | 11201 Usa Pkwy, Suite 100, Fishers, IN 46037-9202 | 2008-02-29 |
| 1841469236 | Cancer Care Group, P.C. | Radiology | 1941 Virginia Ave, Connersville, IN 47331-2833 | 2008-02-29 |
| 1194994582 | Cancer Care Group, P.C. | Radiology | 275 W 12th St, Peru, IN 46970-1638 | 2008-02-29 |
| 1528237989 | Cancer Care Group, P.C. | Radiology | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2008-02-29 |
| 1316116700 | Cancer Care Group, P.C. | Radiology | 8301 Harcourt Rd, Indianapolis, IN 46260-2081 | 2008-02-29 |
| 1679742068 | Cancer Care Group, P.C. | Radiology | 8244 E Us Highway 36, Avon, IN 46123-9575 | 2008-02-29 |
| 1629247028 | Cancer Care Group, P.C. | Radiology | 315 W Old Key Dr, Suite 140, Peru, IN 46970-9057 | 2008-02-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | CANCER CARE GROUP, P.C. | 6100 West 96th Street Ste 125, Indianapolis, IN 46278 |
| Street Address |
2400 17TH ST |
| City | COLUMBUS |
| State | IN |
| Zip Code | 47201-5351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629072517 | Robert Neil Elliott | Internal Medicine | 2400 17th St, Columbus, IN 47201 | 2005-06-08 |
| 1598377467 | Kevin Zachary Kniery | Pharmacist | 2400 17th St, Columbus, IN 47201-5351 | 2020-08-20 |
| 1568094688 | Andrea Kay Valentine | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2020-02-06 |
| 1629624721 | Kelsey Marie Finch | Pharmacist | 2400 17th St, Columbus, IN 47201-5351 | 2019-08-14 |
| 1477108660 | Natalie Ann Green | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2019-08-05 |
| 1023582434 | Sandra Anne Kuniewicz | Dietitian, Registered | 2400 17th St, Columbus, IN 47201-5351 | 2019-01-18 |
| 1548732530 | Janie Thompson | Nurse Practitioner | 2400 17th St, Columbus, IN 47201 | 2019-01-02 |
| 1114405438 | Nathan Roberts | Physician Assistant | 2400 17th St, Columbus, IN 47201-5351 | 2018-07-30 |
| 1508389743 | Jordan R Thompson | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2017-07-19 |
| 1285156893 | Chelsea Ann Spartz | Nurse Practitioner | 2400 17th St, Columbus, IN 47201-5351 | 2017-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699389569 | Ryanne Nicole Slavens | Speech-Language Pathologist | 1974 Glenmoor Drive, Columbus, IN 47201 | 2020-09-08 |
| 1023670759 | Alisha Nicole Scoville | Counselor | 2630 22nd Street, Columbus, IN 47201 | 2019-07-02 |
| 1467964718 | Columbus Radiology Physicians LLC | Radiology | 2400 E. 17th Street, Columbus, IN 47201 | 2017-10-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1144680604 | Forefront Dermatology, S.c. | Dermatology | 244 Westwood Blvd, Columbus, IN 47201 | 2016-02-26 |
| 1871832550 | Jennifer Lynn Grant | Nurse Practitioner | 836 Jackson St., Columbus, IN 47201 | 2013-01-31 |
| 1235404526 | Eric Philip Tannenbaum | Orthopaedic Surgery | 940 N Marr Rd Ste C, Columbus, IN 47201 | 2012-03-20 |
| 1881994176 | Terri Ann Brewer | Social Worker | 12000 W. Moores Vineyard Rd, Columbus, IN 47201 | 2010-11-02 |
| 1255654620 | The Kane Group LLC | Durable Medical Equipment & Medical Supplies | 927 Fourth Street, Columbus, IN 47201 | 2010-03-12 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| Find all providers in zip 47201 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134565120 | Jeremy Brownstein | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2013-05-16 |
| 1710085519 | Reinhard A Gahbauer | Radiology | 812 Hard Rd, Columbus, OH 43235-1740 | 2006-09-20 |
| 1871691592 | John C Grecula | Radiology | 300 W 10th Avenue, Columbus, OH 43210 | 2006-09-20 |
| 1518990688 | Roger P Tokars | Radiology | 2121 -b Warm Springs Rd., Columbus, GA 31904 | 2006-07-09 |
| 1073549515 | Arnab Chakravarti | Radiology | 300 West 10th Avenue, Room 080b, Columbus, OH 43210 | 2006-06-25 |
| 1003858234 | Thomas M Anderson | Radiology | 5200 W Broad St, Columbus, OH 43228-1609 | 2006-06-12 |
| 1043261639 | Joan I Keit | Radiology | 3764 39th Ave, Columbus, NE 68601-4564 | 2006-05-16 |
| 1053876656 | Khaled Dibs | Radiology | 460 W 10th Ave, Columbus, OH 43210-2500 | 2019-02-07 |
| 1477907053 | Robert H Jones Md PC | Radiology | 2520 5th St N, Columbus, MS 39705-2008 | 2016-04-20 |
| 1821476524 | Shang-jui Wang | Radiology | 460 W 10th Ave Fl 2, Columbus, OH 43210-1240 | 2015-05-13 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.