INDIANA CANCER SPECIALISTS, LLC (NPI# 1902346562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902346562 |
| Entity Type | Organization |
| Organization Name | INDIANA CANCER SPECIALISTS, LLC |
| Practice Address |
100 Hospital Ln Suite 320 Danville IN 46122-1989 |
| Mailing Address |
8301 Harcourt Rd Suite 205 Indianapolis IN 46260-2081 |
| Practice Telephone | 3177453752 |
| Practice Fax Number | 3177453742 |
| Mailing Telephone | 3172283393 |
| Mailing Fax Number | 3178761305 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | SRIDHAR BOLLA (PRESIDENT) |
| Authorized Official Telephone | 3172283393 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336689702 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 8301 Harcourt Rd, Suite 205, Indianapolis, IN 46260-2081 | 2017-03-03 |
| 1366982910 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1706 Lafayette Rd, Crawfordsville, IN 47933-1033 | 2017-03-01 |
| 1811437460 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1111 Ronald Reagan Pkwy, Suite B1500, Avon, IN 46123-7085 | 2017-03-01 |
| 1720528383 | Indiana Cancer Specialists, LLC | Durable Medical Equipment & Medical Supplies | 1907 W Sycamore St, Kokomo, IN 46901-5148 | 2017-03-01 |
| 1780124586 | Indiana Cancer Specialists, LLC | Nurse Practitioner | 8301 Harcourt Rd, Suite 205, Indianapolis, IN 46260-2081 | 2017-02-28 |
| Street Address |
100 HOSPITAL LN SUITE 320 |
| City | DANVILLE |
| State | IN |
| Zip Code | 46122-1989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932195971 | Melissa K Essig | Pediatrics | 100 Hospital Ln, Suite 200, Danville, IN 46122-1989 | 2005-09-26 |
| 1326596123 | Hendricks County Hospital | Surgery | 100 Hospital Ln, Suite 325, Danville, IN 46122-1989 | 2016-09-21 |
| 1417405218 | Hendricks County Hospital | Surgery | 100 Hospital Ln, Suite 315, Danville, IN 46122-1989 | 2016-09-21 |
| 1386937258 | Jennifer L Allen | Internal Medicine | 100 Hospital Ln, Suite 115, Danville, IN 46122-1989 | 2011-05-25 |
| 1801109269 | Hendricks County Hospital | Internal Medicine | 100 Hospital Ln, Suite 145, Danville, IN 46122-1989 | 2010-07-14 |
| 1063640258 | Hendricks County Hospital | Physician Assistant | 100 Hospital Ln, Suite 300, Danville, IN 46122-2000 | 2009-06-25 |
| 1710121413 | Stacy Lynn Howell Williams | Pediatrics | 100 Hospital Ln, Suite 200, Danville, IN 46122-1989 | 2009-04-24 |
| 1003057951 | Kacy Yevonne Head | Physician Assistant | 100 Hospital Ln, Suite 105, Danville, IN 46122-1989 | 2009-03-23 |
| 1689824328 | Mojgan Sarah Savabi | Internal Medicine | 100 Hospital Ln, Suite 100, Danville, IN 46122-1989 | 2008-09-30 |
| 1649432444 | Hendricks County Hospital | Internal Medicine | 100 Hospital Ln, Suite 205, Danville, IN 46122-1993 | 2008-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225520745 | Lilly Finley | Specialist/Technologist | 3571 N County Road 500 E, Danville, IN 46122 | 2018-05-31 |
| 1780180406 | Megan Marie Allison | Physician Assistant | 100 Hospital Ln Ste 105, Danville, IN 46122 | 2018-04-02 |
| 1255745709 | Nichole Louise Drilling | Physician Assistant | 1000 E. Main St., Danville, IN 46122 | 2014-06-12 |
| 1972827335 | Edwin J Jackson Jr. | Internal Medicine | 112 Hospital Ln Ste 303, Danville, IN 46122 | 2010-03-15 |
| 1144424458 | Monet Williams Bowling | Surgery | 112 Hospital Ln Ste 100, Danville, IN 46122 | 2007-06-12 |
| 1205957685 | Tricia L Veach | Day Training/Habilitation Specialist | 1600 E Main St, Box 369 (po), Danville, IN 46122 | 2007-04-03 |
| 1699897645 | Jon Erickson | Dentist | 23 S County Road 200 East, Ste B, Danville, IN 46122 | 2007-04-03 |
| 1982721429 | Shiela M Balensiefer | Specialist | 1600 E Main Street, Danville, IN 46122 | 2007-03-22 |
| 1265514277 | Roberta Marie Gray | Registered Nurse | Hendricks Regional Health Partners In Care, 1000 E Main St, Danville, IN 46122 | 2006-10-19 |
| 1255427886 | John Kingsley Sparzo | Internal Medicine | 1000 E. Main St, Danville, IN 46122 | 2006-10-04 |
| Find all providers in zip 46122 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952827065 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1662 Smoot Ave, Danville, WV 25053-7601 | 2017-08-21 |
| 1598136111 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1894 Ridge Ave, Danville, IN 46122-5501 | 2015-10-08 |
| 1154743631 | Tricounty Medical Equipment and Supply, LLC | Durable Medical Equipment & Medical Supplies | 877 Bloom Rd Ste 102, Danville, PA 17821-1351 | 2014-01-17 |
| 1497176176 | Mark Harrer | Durable Medical Equipment & Medical Supplies | 56 Saint Timothy Ct, Danville, CA 94526-5329 | 2013-12-23 |
| 1134556277 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 3649 N. Vermilion St., Danville, IL 61832-1312 | 2013-10-03 |
| 1174802912 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1500 Piney Forest Rd, Danville, VA 24540-1706 | 2011-08-10 |
| 1265673545 | Gesiele L Mockabee | Durable Medical Equipment & Medical Supplies | 19 E North St, Danville, IL 61832 | 2009-03-16 |
| 1154582245 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 155 Holt Garrison Pkwy, Danville, VA 24540-5947 | 2008-06-20 |
| 1750542221 | Rose Drug of Danville Inc | Durable Medical Equipment & Medical Supplies | 708 E 8th Street, Danville, AR 72833 | 2008-06-18 |
| 1134399033 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 444 S 4th St, Danville, KY 40422-2007 | 2008-03-06 |
| Find all providers in DANVILLE | ||||
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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.