CANCER CARE GROUP PC (NPI# 1639575491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639575491 |
| Entity Type | Organization |
| Organization Name | CANCER CARE GROUP PC |
| Practice Address |
801 N State St Ste 50 Greenfield IN 46140-1270 |
| Mailing Address |
6100 W 96th St Ste 125 Indianapolis IN 46278-6005 |
| Practice Telephone | 3173252273 |
| Practice Fax Number | 3173252777 |
| Mailing Telephone | 3177151800 |
| Mailing Fax Number | 3177156200 |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2014-11-06 |
| Authorized Official Name | STEPHEN A FREELAND (CEO) |
| Authorized Official Telephone | 3177151800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | 50004183A | IN | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
50004183A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200259350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194776963 | Cancer Care Group PC | Radiology | 1340 N Madison Ave, Anderson, IN 46011-1216 | 2006-05-15 |
| Street Address |
801 N STATE ST STE 50 |
| City | GREENFIELD |
| State | IN |
| Zip Code | 46140-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104810316 | Stuart W Fraley | Anesthesiology | 801 N State St, Greenfield, IN 46140-1270 | 2005-09-01 |
| 1366088247 | Nancy Brinda Compton | Registered Nurse | 801 N State St, Greenfield, IN 46140-1270 | 2019-11-26 |
| 1912488743 | Kylie Marie Cushman | Physical Therapist | 801 N State St, Greenfield, IN 46140-1270 | 2018-08-29 |
| 1235588146 | Michael Scott Farthing | Anesthesiology | 801 N State St, Greenfield, IN 46140-5209 | 2016-06-10 |
| 1285089664 | Heather Renee Wolfe | Registered Nurse | 801 N State St, Greenfield, IN 46140-1270 | 2016-05-04 |
| 1023402567 | Hancock Regional Hospital | Durable Medical Equipment & Medical Supplies | 801 N State St, Greenfield, IN 46140-1270 | 2015-03-23 |
| 1063788370 | Mazhar Ahmed Khan | Family Medicine | 801 N State St, Greenfield, IN 46140-1270 | 2012-03-30 |
| 1942598321 | Christopher Gordon | Anesthesiology | 801 N State St, Greenfield, IN 46140-1270 | 2011-07-19 |
| 1114226859 | Timothy Alan Head | Anesthesiology | 801 N State St, Greenfield, IN 46140-1270 | 2011-03-21 |
| 1235450354 | Indrek Meyer | Hospitalist | 801 N State St, Greenfield, IN 46140-1270 | 2010-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417504655 | Megan Snider | Nurse Practitioner | 1120 S Jacobi Rd, Greenfield, IN 46140 | 2019-08-22 |
| 1598319048 | Paul Vernon Runyan Jr. | Counselor | 5486 W Us Highway 40, Greenfield, IN 46140 | 2019-08-01 |
| 1467928457 | Candace Kay Roudebush | Developmental Therapist | 1342 Fairview Dr, Greenfield, IN 46140 | 2018-10-17 |
| 1730660481 | Samruddhi Dawande | Physical Therapist | 200 Green Meadows Drive, Greenfield, IN 46140 | 2018-08-21 |
| 1255794178 | Claire Lubbers | Nurse Practitioner | 300 E. Boyd Ave., Suite Ahn-family Medicine, Greenfield, IN 46140 | 2016-03-29 |
| 1376905752 | Justin Donat | Pharmacist | 2181 N West Bay Dr Apt D, Greenfield, IN 46140 | 2016-03-24 |
| 1265716476 | Kathleen Theresa Picard-nance | Pharmacist | 1195 N State Street, Greenfield, IN 46140 | 2011-10-06 |
| 1780991513 | Melinda Sue Wolfe | Midwife, Lay | 1929 Declaration Dr, Greenfield, IN 46140 | 2010-08-31 |
| 1669694287 | Lifetime Dental Care of Indiana, PC | Dentist | 168 East New Road, Greenfield, IN 46140 | 2007-05-03 |
| 1790903177 | Christina Renee Mcqueeney | Audiologist | 1834 Fields Blvd, Greenfield, IN 46140 | 2007-04-23 |
| Find all providers in zip 46140 | ||||
| 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 |
|---|---|---|---|---|
| 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 | GREENFIELD |
| Zip Code | 46140 |
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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.