CANCER CARE GROUP, P.C. (NPI# 1447201058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447201058 |
| Entity Type | Organization |
| Organization Name | CANCER CARE GROUP, P.C. |
| Practice Address |
2209 John R Wooden Dr Martinsville IN 46151-1840 |
| Mailing Address |
6100 W 96th St Suite 125 Indianapolis IN 46278-6005 |
| Practice Telephone | 7653496592 |
| Practice Fax Number | 7653496443 |
| Mailing Telephone | 3177151800 |
| Mailing Fax Number | 3177156200 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-08-12 |
| Authorized Official Name | MR. 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 |
2209 JOHN R WOODEN DR |
| City | MARTINSVILLE |
| State | IN |
| Zip Code | 46151-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093717928 | Stephen L Hardin | Family Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2005-08-11 |
| 1609497247 | John D Bowman | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2020-05-06 |
| 1356977540 | Giesla Potter | Dietitian, Registered | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2020-03-19 |
| 1275036147 | Amanda Jo Throckmorton | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2018-03-16 |
| 1629584396 | In Post Acute Specialists, PC | Emergency Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2017-12-18 |
| 1588015762 | Fnu Taneem Sultana | Internal Medicine | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2016-06-28 |
| 1255716114 | James Branam | Counselor | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2015-07-21 |
| 1316344260 | Diane Kutruff | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-11-20 |
| 1508263443 | Susan Ksenak | Pharmacist | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-11-20 |
| 1407256852 | Lori Wronowicz Frasher | Nurse Practitioner | 2209 John R Wooden Dr, Martinsville, IN 46151-1840 | 2014-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376061341 | Curtis Andrew Legg | Chiropractor | 1100 In-39 Bypass, Martinsville, IN 46151 | 2017-08-30 |
| 1922448919 | Patricia Ann Watts | Clinic/Center | 5040 State Road 67 North, Bradford Woods Health Center, Martinsville, IN 46151 | 2013-07-05 |
| 1962700856 | Keather Kent | Behavioral Analyst | 1375 E Morgan St., Martinsville, IN 46151 | 2011-03-02 |
| 1124235783 | Weaver Chiropractic Center PC | Chiropractor | 1100 State Rd. 39 By-pass, Suite #a, Martinsville, IN 46151 | 2007-05-16 |
| 1629197991 | James Clinton Weaver | Chiropractor | 1100 State Roas 39 By-pass, #a, Martinsville, IN 46151 | 2007-03-28 |
| 1134212988 | Nathaniel H Hall | Dentist | 829 Plaza Drive, Martinsville, IN 46151 | 2006-10-02 |
| 1952404634 | Hook Superx LLC | Pharmacy | 789 State Rd 39 By Pass, Martinsville, IN 46151 | 2006-09-07 |
| 1992753453 | Community Partners In Prenatal Care Inc | Local Education Agency (LEA) | 389 N Jefferson St, Martinsville, IN 46151 | 2006-05-05 |
| 1144290040 | Angela Denise Harder | Occupational Therapy Assistant | 359 E Morgan Street, Martinsville, IN 46151 | 2006-01-24 |
| 1659447332 | Richard Travis Dotterer Jr. | Optometrist | 410 Grand Valley Blvd, Martinsville, IN 46151 | 2006-11-27 |
| Find all providers in zip 46151 | ||||
| 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 |
|---|---|---|---|---|
| 1558342741 | Naoyuki G Saito | Radiology | 2209 John R Wooden Drive, Martinsville, IN 46151-1840 | 2005-11-07 |
| 1295941516 | Southside Radiation Oncology | Radiology | 320 Hospital Dr, Memorial Hospital, Martinsville, VA 24112-1900 | 2007-05-15 |
| 1235116682 | Nigel Thomas Goodchild | Radiology | 320 Hospital Dr, Martinsville, VA 24112-1900 | 2005-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336607555 | Cancer Specialists LLC | Radiology | 600 Vale Park Rd N Unit A, Valparaiso, IN 46383-2546 | 2019-03-06 |
| 1811376759 | Namita Agrawal | Radiology | 3420 Dubois St, West Lafayette, IN 47906-7200 | 2015-05-26 |
| 1194982512 | Jennifer Elizabeth Fisher | Radiology | 1340 N. Madison, Anderson, IN 46011-1216 | 2008-05-22 |
| 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 |
| 1265527329 | Stanley Scot Givens | Radiology | 8244 East Us 36, Avon, IN 46123 | 2006-10-04 |
| 1598850653 | Robert Howard Liebross | Radiology | 8402 Harcourt Road, Suite 721, Indianapolis, IN 46260 | 2006-10-04 |
| 1205949252 | Heartland Radiation Oncology | Radiology | 1159 W Jefferson St, Franklin, IN 46131-2794 | 2006-08-16 |
| 1356373526 | Eileen F Mcgarvey | Radiology | 621 West St, Madison, IN 47250-3344 | 2006-07-07 |
| Find all providers with the same taxonomy | ||||
| City | MARTINSVILLE |
| Zip Code | 46151 |
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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.