SOUTHEAST CANCER NETWORK, INC (NPI# 1780753418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780753418 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST CANCER NETWORK, INC |
| Other Organization Name | CANCER CARE CENTER OF MONTDOMERY EAST |
| Practice Address |
300 Saint Lukes Dr Montgomery AL 36117-7102 |
| Mailing Address |
1400 Afflink Pl Ste 100 Tuscaloosa AL 35406-2289 |
| Practice Telephone | 3342738877 |
| Mailing Telephone | 2053669740 |
| Mailing Fax Number | 2053449992 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | STEVE L MITCHELL (CFO) |
| Authorized Official Telephone | 2053669740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| CANCER CARE CENTER OF MONTDOMERY EAST | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609072537 | Southeast Cancer Network, Inc | Internal Medicine | 105 Highway 80 E., Demopolis, AL 36732 | 2007-06-26 |
| 1578633566 | Southeast Cancer Network, Inc | Internal Medicine | 2505 Us Hwy 431, Boaz, AL 35957 | 2006-11-08 |
| 1215007273 | Southeast Cancer Network, Inc | Internal Medicine | 3500 Hwy 78 East, Jasper, AL 35501 | 2006-11-08 |
| 1063581536 | Southeast Cancer Network, Inc | Internal Medicine | 171 Caraway Dr, Winfield, AL 35594-5067 | 2006-11-07 |
| 1790854255 | Southeast Cancer Network, Inc | Internal Medicine | 22281 Us Highway 72, Ste B, Athens, AL 35613-2600 | 2006-11-07 |
| 1013140904 | Southeast Cancer Network, Inc | Internal Medicine | 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 | 2009-08-26 |
| 1245472356 | Southeast Cancer Network, Inc | Internal Medicine | 171 Town Center Dr, Suite Mps-6, Anniston, AL 36205-4101 | 2009-04-03 |
| 1295807857 | Southeast Cancer Network, Inc | Internal Medicine | 1410 Mcfarland Blvd N, Tuscaloosa, AL 35406-2209 | 2006-11-15 |
| 1235208778 | Southeast Cancer Network, Inc | Internal Medicine | 1024 1st St N, Alabaster, AL 35007-8703 | 2006-11-07 |
| 1255400834 | Southeast Cancer Network, Inc | Internal Medicine | 2055 E South Blvd, Ste 202, Montgomery, AL 36116-2001 | 2006-11-07 |
| Street Address |
300 SAINT LUKES DR |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36117-7102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306853700 | Thomas E Beatrous | Radiology | 300 Saint Lukes Dr, Montgomery, AL 36117-7102 | 2006-08-01 |
| 1750840369 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 300 Saint Lukes Dr, Montgomery, AL 36117-7102 | 2019-03-14 |
| 1740578905 | Astrid Belalcazar | Internal Medicine | 300 Saint Lukes Dr, Montgomery, AL 36117-7102 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
| 1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
| 1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
| 1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
| 1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
| 1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
| 1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
| 1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
| 1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
| 1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
| Find all providers in zip 36117 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417222720 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Internal Medicine | 4145 Carmichael Rd, Montgomery, AL 36106-2803 | 2012-03-20 |
| 1740578905 | Astrid Belalcazar | Internal Medicine | 300 Saint Lukes Dr, Montgomery, AL 36117-7102 | 2011-07-21 |
| 1013140904 | Southeast Cancer Network, Inc | Internal Medicine | 1758 Park Pl, Suite 301, Montgomery, AL 36106-1127 | 2009-08-26 |
| 1679786354 | John Edward Reardon | Internal Medicine | 4145 Carmichael Road, Montgomery Cancer Center, Montgomery, AL 36106-2803 | 2007-05-08 |
| 1255400834 | Southeast Cancer Network, Inc | Internal Medicine | 2055 E South Blvd, Ste 202, Montgomery, AL 36116-2001 | 2006-11-07 |
| 1780623850 | Scott A Mcdaniel | Internal Medicine | 4145 Carmichael Rd, Montgomery, AL 36106 | 2006-06-05 |
| 1902852171 | Stephen L Davidson | Internal Medicine | 4145 Carmichael Rd, Montgomery, AL 36106 | 2006-05-26 |
| 1841246022 | Keith A Thompson | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-26 |
| 1356395214 | Harry M Barnes IIi | Internal Medicine | 4145 Carmichael Road, Montgomery, AL 36106-2801 | 2006-05-22 |
| 1053303602 | William Gary Cumbie Jr. | Internal Medicine | 1722 Pine St, Ste 500, Montgomery, AL 36106-1103 | 2005-08-19 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36117 |
Please comment or provide details below to improve the information on SOUTHEAST CANCER NETWORK, INC.
| 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.