THE REGIONAL CANCER CENTER (NPI# 1336147990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336147990 |
| Entity Type | Organization |
| Organization Name | THE REGIONAL CANCER CENTER |
| Practice Address |
2500 W 12th St Erie PA 16505 |
| Practice Telephone | 8148362651 |
| Practice Fax Number | 8148380443 |
| Mailing Telephone | 8148362651 |
| Mailing Fax Number | 8148380443 |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | MR. JOHN GIRARD (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8148362604 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
BR1627768 | PA | Suppliers |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
========= | PA | Allopathic & Osteopathic Physicians |
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
========= | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0017638630005 | 05 | |
| MED PLUSH | 127683 | 01 | |
| PA | B CROSS | 991590 | 01 |
| PA | NCPDP | 3956945 | 01 |
| PA | UPMC | 105863 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568655504 | The Regional Cancer Center | Pharmacy | 2500 W 12th St, Erie, PA 16505-4508 | 2007-08-23 |
| 1417140450 | The Regional Cancer Center | Clinical Medical Laboratory | 2500 W 12th St, Erie, PA 16505-4508 | 2007-08-23 |
| Street Address |
2500 W 12TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780245 | Holly Elizabeth Skala | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4508 | 2005-06-20 |
| 1023553203 | Christina Peterson | Nurse Practitioner | 2500 W 12th St, Erie, PA 16505-4500 | 2016-12-27 |
| 1720530710 | Susan Roberta Marshall-erven | Nurse Practitioner | 2500 W 12th St, Erie, PA 16505-4500 | 2016-10-26 |
| 1720535198 | Sharon Burgert | Specialist | 2500 W 12th St, Erie, PA 16505-4500 | 2016-09-02 |
| 1114329513 | Morgan Hilinski | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4500 | 2014-09-17 |
| 1083952055 | Kaitlyn Mackey | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4500 | 2013-01-24 |
| 1659567006 | Emily Lynn Hesch | Physician Assistant | 2500 W 12th St, Erie, PA 16505-4508 | 2007-09-19 |
| 1568655504 | The Regional Cancer Center | Pharmacy | 2500 W 12th St, Erie, PA 16505-4508 | 2007-08-23 |
| 1417140450 | The Regional Cancer Center | Clinical Medical Laboratory | 2500 W 12th St, Erie, PA 16505-4508 | 2007-08-23 |
| 1629117197 | Susan M Roche | Registered Nurse | 2500 W 12th St, Erie, PA 16505-4508 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 207RX0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Medical Oncology |
| An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056688 | Roy E Smith | Internal Medicine | 2924 Westwood Estates Dr, Erie, PA 16506-5606 | 2005-07-12 |
| 1639176027 | Jan M Rothman | Internal Medicine | 2500 W. 12th St, The Regional Cancer Ctr, Erie, PA 16505 | 2005-06-30 |
| 1033115464 | Philip H Symes | Internal Medicine | 2508 Myrtle St Ste 200, Erie, PA 16502-2700 | 2005-06-21 |
| 1528064953 | Jay L Jenkins | Internal Medicine | 2500 W 12th St, Erie, PA 16505-4508 | 2005-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639788102 | Butler Medical Providers | Internal Medicine | 150 Doctors Ln Ste 1, Clarion, PA 16214-8516 | 2020-07-30 |
| 1053838474 | Nazareth Physician Services | Internal Medicine | 2701 Holme Ave Ste 302, Phila, PA 19152-2029 | 2017-08-25 |
| 1619492394 | Nazareth Physician Services | Internal Medicine | 2701 Holme Ave Ofc Building, Phila, PA 19152-2029 | 2017-08-03 |
| 1891197885 | Geisinger Medical Oncology Lock Haven | Internal Medicine | 1 Outlet Lane, Lock Haven, PA 17745-2078 | 2014-09-22 |
| 1295137388 | Geisinger Cancer Center of Lewisburg | Internal Medicine | 75 Medical Park, Lewisburg, PA 17837-6074 | 2014-09-19 |
| 1275875239 | James Michael Pluda | Internal Medicine | 1613 Harvest Moon Ln, Hatfield, PA 19440-2172 | 2013-03-18 |
| 1548514755 | Anna Margareta Johnsen | Internal Medicine | 1924 Murdoch Rd, Pittsburgh, PA 15217-1533 | 2012-11-09 |
| 1124399571 | Philip Schein | Internal Medicine | 605 Old Gulph Rd, Bryn Mawr, PA 19010-1805 | 2012-01-17 |
| 1942578109 | Harvey S. Brodovsky | Internal Medicine | 13 Scarlet Oak Drive, Lafayette Hill, PA 19444-2420 | 2011-12-02 |
| 1578709192 | Rezvan Rafi | Internal Medicine | 2476 Malehorn Rd, Chester Springs, PA 19425-3306 | 2009-01-02 |
| Find all providers with the same taxonomy | ||||
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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.