Organization Active NPI

Blood & Cancer Center, LLC

  • Hematology & Oncology Physician
  • Hanover, PA
National Provider Identifier
1053461897
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD418310 Issued in PA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Shanthi Mohan, MDNPI 1033115092
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0018946870001MedicaidPA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.