NPIMap

Organization Active NPI

Aultman Cancer Care LLC

  • Oncology Clinic/Center
  • Canton, OH
National Provider Identifier
1043883028
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
AULTMAN CANCER CARE LLC
Practice address
2600 Sixth St SW
Canton, OH 44710-1702
Phone
(330) 438-6333
Fax
(330) 580-6660
NPI assigned
Jul 19, 2021
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Adam Luntz
Title
Cfo
Phone
(330) 363-6889

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20220106002578 OH Part B Supplier - Clinic/Group Practice 0143611897 Receives reassigned benefits from 14 practitioners
Practice locations: Orrville, OH; Canton, OH; Alliance, OH

National Provider Directory

National Provider Directory

Locations

1261 Wooster Rd
Ste 101
Millersburg, OH 44654
Phone (330) 438-6333

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X Primary

Addresses

NPPES NPI Registry

Primary practice location

2600 Sixth St SW
Canton, OH 44710-1702

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 363-7444

Other practice location 1

1261 Wooster Rd Ste 101
Millersburg, OH 44654-1568
Phone (330) 438-6333

Other practice location 2

830 S Main St Ste 101
Orrville, OH 44667-2218
Phone (330) 438-6333

Other names 1

NPPES NPI Registry
  • Aultman Hematology & Oncology Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2025.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1043883028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-363-7444",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SIXTH ST SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447101702",
            "telephone_number": "330-438-6333",
            "fax_number": "330-580-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1261 Wooster Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Millersburg",
            "state": "OH",
            "postal_code": "446541568",
            "country_code": "US",
            "telephone_number": "330-438-6333",
            "fax_number": "330-580-6660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orrville",
            "state": "OH",
            "postal_code": "446672218",
            "country_code": "US",
            "telephone_number": "330-438-6333",
            "fax_number": "330-580-6660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AULTMAN CANCER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-19",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "LUNTZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-363-6889"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aultman Hematology & Oncology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.