CANCER CARE ASSOCIATES, P.C. (NPI# 1588770077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588770077 |
| Entity Type | Organization |
| Organization Name | CANCER CARE ASSOCIATES, P.C. |
| Practice Address |
1225 S Gear Ave Suite 152 West Burlington IA 52655-1691 |
| Mailing Address |
1315 W Agency Rd West Burlington IA 52655-1654 |
| Practice Telephone | 3197531220 |
| Practice Fax Number | 3197535464 |
| Mailing Telephone | 3197683900 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. REDDY S REGANTI (PRESIDENT/OWNER) |
| Authorized Official Telephone | 3197531220 |
| 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 |
22977 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 4213017 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013034669 | Cancer Care Associates, P.C. | Clinical Medical Laboratory | 1701 South Blvd E, Suite 107, Rochester Hills, MI 48307-6122 | 2007-03-26 |
| Street Address |
1225 S GEAR AVE SUITE 152 |
| City | WEST BURLINGTON |
| State | IA |
| Zip Code | 52655-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932101466 | Theron Jameson | Specialist | 1225 S Gear Ave, Ste 159, West Burlington, IA 52655 | 2005-08-15 |
| 1750900809 | Logan Taylor Chiri | Nurse Practitioner | 1225 S Gear Ave, West Burlington, IA 52655-1691 | 2020-04-09 |
| 1528627122 | Bailey Peterson | Social Worker | 1225 S Gear Ave, West Burlington, IA 52655-1691 | 2019-06-07 |
| 1992178099 | Anna Short | Social Worker | 1225 S Gear Ave, Mercy Plaza Ste 251, West Burlington, IA 52655-1691 | 2015-11-11 |
| 1013398023 | Lisa Ann Lake | Nurse Practitioner | 1225 S Gear Ave, Suite 159, West Burlington, IA 52655-1691 | 2015-06-16 |
| 1629464102 | Elisa Roth | Counselor | 1225 S Gear Ave, West Burlington, IA 52655-1691 | 2015-04-10 |
| 1851789135 | James Towlerton | Counselor | 1225 S Gear Ave, Mercy Plaza Suite 251, West Burlington, IA 52655-1691 | 2015-01-08 |
| 1578977138 | Charman Cole | Pharmacist | 1225 S Gear Ave, Suite 154, West Burlington, IA 52655-1691 | 2014-06-11 |
| 1659632768 | Audrey Eva Cook | Counselor | 1225 S Gear Ave, Mercy Plaza, Suite 251, West Burlington, IA 52655-1691 | 2012-06-05 |
| 1619237849 | John Thurman | Family Medicine | 1225 S Gear Ave, Suite Number 159, West Burlington, IA 52655-1691 | 2012-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679920045 | Breanne Vogel | Nurse Practitioner | 1225 South Gear Avenue, Suite 159, Great River Family Practice Clinic, West Burlington, IA 52655 | 2016-05-16 |
| 1639538010 | Kala Haisch | Nurse Practitioner | 1225 S. Gear Ave., Mercy Plaza, Suite 251, West Burlington, IA 52655 | 2016-02-15 |
| 1326305830 | Ryan Deets | Surgery | 1223 S Gear Ave Ste 202, West Burlington, IA 52655 | 2012-04-20 |
| 1912100173 | Jennifer Yancey | Dietitian, Registered | Great River Medical Center Center for Rehabilitation, 1401 W. Agency Rd., West Burlington, IA 52655 | 2007-06-06 |
| 1043348196 | Wilson Hearing Aids & Services Inc | Hearing Instrument Specialist | 313 E Agency Rd, West Burlington, IA 52655 | 2007-03-01 |
| 1730286204 | Eric A Hanks | Chiropractor | 433 E Mt Pleasant St, West Burlington, IA 52655 | 2006-09-19 |
| 1093825176 | Michael Steven Mathews | Dentist | 409 Layne Dr, West Burlington, IA 52655 | 2006-08-30 |
| 1952383259 | Craig Huston | Emergency Medical Technician, Basic | 1221d S Gear Ave, West Burlington, IA 52655 | 2005-11-14 |
| 1255339750 | Community Health Centers of Southeastern Iowa Inc | Internal Medicine | 1706 West Agency Road, West Burlington, IA 52655 | 2005-07-08 |
| 1730798570 | Burlington Oral Surgery | Dentist | 1225 S. Gear Ave., Mercy Plaza Ste 156, West Burlington, IA 52655 | 2020-07-28 |
| Find all providers in zip 52655 | ||||
| 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 |
|---|---|---|---|---|
| 1659560589 | Wyman Yap Lee | Radiology | 1315 W Agency Rd, West Burlington, IA 52655-1654 | 2007-10-16 |
| 1952396277 | Reddy S Reganti | Radiology | 1225 S Gear Ave, Suite 152, West Burlington, IA 52655-1691 | 2005-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841731130 | Calvin Lewis | Radiology | 200 Hawkins Dr Dept of Radiation Oncology, Iowa City, IA 52242-1009 | 2017-03-20 |
| 1861871105 | Samuel Schroeder | Radiology | 1221 Pleasant St Ste A100, Des Moines, IA 50309-1428 | 2015-05-19 |
| 1043605140 | Nicholas Basil Loudas | Radiology | 202 10th St Se Ste 195, Cedar Rapids, IA 52403-2433 | 2015-04-06 |
| 1316231012 | Radiation Oncology of Iowa, PC | Radiology | 350 North Grandview Avenue, Dubuque, IA 52001 | 2011-05-31 |
| 1396873725 | Thomas Charles Lally | Radiology | 3123 Pasadena Ct, Unit 39, Dubuque, IA 52001-0846 | 2007-02-28 |
| 1477602654 | Terrence J Allen | Radiology | 1900 Superior St, Webster City, IA 50595-3146 | 2007-01-09 |
| 1811940356 | Radiation Oncology of Cedar Rapids PC | Radiology | 603 10th St Se, Cedar Rapids, IA 52403-1208 | 2006-05-18 |
| 1871565226 | Farida Rajput | Radiology | 1351 E Kimberly Rd, Ste 200, Bettendorf, IA 52722 | 2006-02-01 |
| 1285604470 | Cassandra S Foens | Radiology | 200 E Ridgeway Ave, Waterloo, IA 50702-5060 | 2006-01-23 |
| 1588649396 | Gregory D Naden | Radiology | 230 Nebraska St, Sioux City, IA 51101-1733 | 2005-12-14 |
| Find all providers with the same taxonomy | ||||
| City | WEST BURLINGTON |
| Zip Code | 52655 |
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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.