FOX CHASE CANCER CENTER MEDICAL GROUP, INC (NPI# 1952674079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952674079 |
| Entity Type | Organization |
| Organization Name | FOX CHASE CANCER CENTER MEDICAL GROUP, INC |
| Other Organization Name | PINNACLE RADONC OF FCCC, MGI |
| Practice Address |
4300 Londonderry Rd Medical Science Pav -ste 201 Harrisburg PA 17109-5317 |
| Mailing Address |
333 Cottman Ave Mso/enrolment Philadelphia PA 19111-2434 |
| Practice Telephone | 7177246760 |
| Practice Fax Number | 7177246761 |
| Mailing Telephone | 2157286900 |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2012-02-21 |
| Authorized Official Name | ROBERT BECK (SR VP) |
| Authorized Official Telephone | 2152141409 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pinnacle RadOnc of FCCC, MGI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801160981 | Fox Chase Cancer Center Medical Group, Inc | Psychologist | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1710251897 | Fox Chase Cancer Center Medical Group, Inc | Psychiatry & Neurology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1073887154 | Fox Chase Cancer Center Medical Group, Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1518231695 | Fox Chase Cancer Center Medical Group, Inc | Surgery | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1457625535 | Fox Chase Cancer Center Medical Group, Inc | Otolaryngology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1538433610 | Fox Chase Cancer Center Medical Group, Inc | Internal Medicine | 333 Cottman Ave, West Bldg/cru, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1528332608 | Fox Chase Cancer Center Medical Group, Inc | Radiology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1427322502 | Fox Chase Cancer Center Medical Group, Inc | Urology | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1992079073 | Fox Chase Cancer Center Medical Group, Inc | Internal Medicine | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2012-03-07 |
| 1447524525 | Fox Chase Cancer Center Medical Group, Inc | Internal Medicine | 333 Cottman Ave, Fox Chase Cancer Center, Philadelphia, PA 19111-2434 | 2012-03-07 |
| Street Address |
4300 LONDONDERRY RD MEDICAL SCIENCE PAV -STE 201 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-5317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274598 | Stephanie Ann Kramer | Nurse Anesthetist, Certified Registered | 4300 Londonderry Rd, Harrisburg, PA 17109 | 2005-06-09 |
| 1538780515 | Kevin Matthew Nowakowski | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-05-01 |
| 1265053417 | James Farrell | Internal Medicine | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-29 |
| 1003436353 | Isaac Nivar | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-16 |
| 1841819588 | Christopher Ferguson | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-13 |
| 1679192579 | Inderpreet Singh | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-10 |
| 1902435373 | Timothy Warren | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-07 |
| 1902435340 | Cameron Park Slane | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-07 |
| 1295364974 | Kelly Marie Fening | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-05 |
| 1437788171 | Adrian Julian Lowenfeld | Student in an Organized Health Care Education/Training Program | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2020-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| 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 |
|---|---|---|---|---|
| 1093947954 | David C Weksberg | Radiology | 4300 Londonderry Rd Lowr Level, Harrisburg, PA 17109-5317 | 2009-08-11 |
| 1730152075 | Mid-penn Radiation Oncology LLP | Radiology | 2501 North 3rd St, Harrisburg, PA 17110 | 2006-02-08 |
| 1346234895 | Central Pennsylvania Radiation Oncology, PC | Radiology | 775 S Arlington Ave, Harrisburg, PA 17109-5002 | 2005-09-09 |
| 1114337227 | Abimbola O Orisamolu | Radiology | 4300 Londonderry Rd Lowr Level, Harrisburg, PA 17109-5317 | 2014-04-29 |
| 1558707935 | Pinnacle Health Medical Services | Radiology | 4300 Londonderry Rd, Medical Sciences Pavilion, Lower Level, Harrisburg, PA 17109-5317 | 2013-05-13 |
| 1235491440 | David Barron | Radiology | 4300 Londonderry Rd, Harrisburg, PA 17109-5317 | 2012-06-13 |
| 1992062681 | Neha Bhooshan | Radiology | 4300 Londonderry Rd Lowr Level, Harrisburg, PA 17109 | 2012-04-18 |
| 1366763583 | Health Services of Fccc | Radiology | 4300 Londonderry Rd, Community Campus/medical Science Pavillion, Harrisburg, PA 17109-5317 | 2010-06-22 |
| 1417155979 | Mid-penn Radiation Oncology PC | Radiology | 2501 N 3rd St, Harrisburg, PA 17110-1904 | 2007-07-06 |
| 1366581050 | Kanta Rohit Desai | Radiology | 118 S Main St, Harrisburg, IL 62946-1834 | 2007-02-06 |
| Find all providers in HARRISBURG | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
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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.