Active NPI
Blood & Cancer Center, LLC
- Hematology & Oncology Physician
- Hanover, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD418310
- Legal business name
- BLOOD & CANCER CENTER, LLC
- Practice address
- 671 Wilson Ave
Hanover, PA 17331-7902 - Phone
- (717) 632-1559
- Fax
- (717) 632-5557
- NPI assigned
- Jan 12, 2007
- Last updated
- Dec 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Shanthi Mohan, MD
- Title
- Medical Physician
- Phone
- (717) 632-1559
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD418310 | PA | Primary |
Addresses
Primary practice location
671 Wilson Ave
Hanover, PA 17331-7902
Mailing address
671 Wilson Avenue
Hanover, PA 17331-7902
Phone (717) 632-1559
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0018946870001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
777 Cherry Tree Ct
#3
Hanover, PA 17331
Phone (717) 632-1559
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hematology & Oncology Physician
- Hanover, PA
- NPI 1033115092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168560000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1259712000000",
"number": "1053461897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 WILSON AVENUE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173317902",
"telephone_number": "717-632-1559",
"fax_number": "717-632-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 WILSON AVE",
"city": "HANOVER",
"state": "PA",
"postal_code": "173317902",
"telephone_number": "717-632-1559",
"fax_number": "717-632-5557"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLOOD & CANCER CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-12",
"last_updated": "2009-12-02",
"status": "A",
"authorized_official_last_name": "MOHAN",
"authorized_official_first_name": "SHANTHI",
"authorized_official_title_or_position": "MEDICAL PHYSICIAN",
"authorized_official_telephone_number": "717-632-1559",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD418310",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0018946870001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.