CANCER SPECIALISTS LLC (NPI# 1336607555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336607555 |
| Entity Type | Organization |
| Organization Name | CANCER SPECIALISTS LLC |
| Other Organization Name | CANCER SPECIALISTS OF INDIANA |
| Practice Address |
600 Vale Park Rd N Unit A Valparaiso IN 46383-2546 |
| Mailing Address |
100 E Wayne St Ste 510 South Bend IN 46601-2394 |
| Practice Telephone | 2194624400 |
| Practice Fax Number | 2194624401 |
| Mailing Telephone | 5743345400 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-04-19 |
| Authorized Official Name | DR. BILAL ANSARI (PRESIDENT) |
| Authorized Official Telephone | 5743345400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Cancer Specialists of Indiana | Doing Business As Name - Organization |
| MHO Cancer Clinic, LLC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376895888 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 14546 Old Saint Augustine Rd, Bldg 1 Suite 317, Jacksonville, FL 32258-5468 | 2012-10-08 |
| 1801148473 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 5742 Booth Rd, Suite A, Jacksonville, FL 32207-5982 | 2012-10-08 |
| 1215289723 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 4203 Belfort Rd, Suite 215, Jacksonville, FL 32216-1409 | 2012-10-08 |
| 1033461546 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 1375 Roberts Dr, Suite 103, Jacksonville, FL 32250-3210 | 2012-10-08 |
| 1548512056 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 1235 San Marco Blvd, Suite 202, Jacksonville, FL 32207-8554 | 2012-10-08 |
| 1306198908 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 2 Shircliff Way, Suite 800, Jacksonville, FL 32204-4753 | 2012-10-05 |
| 1689925240 | Cancer Specialists LLC | Durable Medical Equipment & Medical Supplies | 9 San Bartola Dr, St Augustine, FL 32086-5767 | 2012-09-24 |
| Street Address |
600 VALE PARK RD N UNIT A |
| City | VALPARAISO |
| State | IN |
| Zip Code | 46383-2546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962860 | Andrea Abbett | Pharmacist | 333 Boyd Blvd Laporte, In 46350, 211 S 75 E, Valparaiso, IN 46383 | 2020-11-03 |
| 1144868043 | Callan Gannon Jones | Registered Nurse | 83 E Us-6 Frontage Road, Valparaiso, IN 46383 | 2019-12-11 |
| 1972163806 | Melissa E Valtierra | Counselor | 204 Valparaiso St, Valparaiso, IN 46383 | 2019-06-13 |
| 1003472721 | Roman Podiatry Partners Inc | Podiatrist | 2308 N. Roosevelt, Valparaiso, IN 46383 | 2019-05-17 |
| 1831654680 | Mark Esiyeden | Driver | 1407 1/2 Chicago Street, 4, Valparaiso, IN 46383 | 2019-02-06 |
| 1770062663 | The Dialysis Center of Valparaiso LLC | Clinic/Center | 2711 Leonard Drive, Suite 100, Valparaiso, IN 46383 | 2018-08-10 |
| 1285112334 | Tricia Louise Burkins | Nurse Practitioner | 1861 South Sturdy Road, Valparaiso, IN 46383 | 2018-08-01 |
| 1598262388 | Elizabeth R Kozak | Physical Therapist | 2307 Laporte Ave Ste 5, Valparaiso, IN 46383 | 2018-04-09 |
| 1588160725 | Innovative Counseling Solutions LLC | Social Worker | 8 Morgan Street, Valparaiso, IN 46383 | 2018-04-05 |
| 1275034860 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 405 Porters Vale Boulevard, Valparaiso, IN 46383 | 2018-02-28 |
| Find all providers in zip 46383 | ||||
| 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 |
|---|---|---|---|---|
| 1184133555 | Horizon Medical Group, Inc | Internal Medicine | 1345 Unity Pl Ste 345, Lafayette, IN 47905-5761 | 2017-09-28 |
| 1346515665 | Coleman Obasaju | Internal Medicine | 12098 Ashcroft Pl, Carmel, IN 46032-8901 | 2012-03-20 |
| 1780918987 | Union Associated Physicians Clinic, LLC | Internal Medicine | 1711 No. 6 1/2 Street, Hux Cancer Center, Suite 200, Terre Haute, IN 47804-4018 | 2009-09-22 |
| 1902038060 | Waldo I Ortuzar | Internal Medicine | 13869 Kickapoo Tr., Carmel, IN 46033-8545 | 2009-08-21 |
| 1558562371 | Cecilia Choi | Internal Medicine | 1100 Reid Pkwy Ste 105, Richmond, IN 47374-1157 | 2007-05-30 |
| 1669419867 | Roberto Pili | Internal Medicine | 1030 W Michigan St, Indianapolis, IN 46202-5201 | 2006-05-31 |
| 1275597650 | William S Kamanda | Internal Medicine | 53760 Generations Dr, South Bend, IN 46635-1539 | 2006-04-13 |
| 1760451413 | Vijaya Kakani | Internal Medicine | 420 N 26th St, Lafayette, IN 47904-2842 | 2006-03-15 |
| 1982685533 | Rathipriya Mahendran | Internal Medicine | 831 Theatre Drive, Marion, IN 46952-4470 | 2005-11-10 |
| 1750372819 | Robert J Steele | Internal Medicine | 806 S Berkley Rd, Kokomo, IN 46901-5110 | 2005-10-28 |
| Find all providers with the same taxonomy | ||||
| City | VALPARAISO |
| Zip Code | 46383 |
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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.