NPIMap

Organization Active NPI

Blood and Cancer Center, Inc

Doing business as Anthony J Kalliath MD

  • Non-Pharmacy Dispensing Site
  • Florence, AL
National Provider Identifier
1073567111
Registry record updated Dec 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
AL14483 Issued in AL
Legal business name
BLOOD AND CANCER CENTER, INC
Doing business as
Anthony J Kalliath MD
Practice address
202 E Dr Hicks Blvd
Florence, AL 35630-5768
Phone
(256) 760-0422
Fax
(256) 760-0332
NPI assigned
May 22, 2006
Last updated
Dec 9, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2010

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

Authorized official

Name
Dr. Anthony J KalliathNPI 1902989189
Title
Owner
Phone
(256) 760-0422

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X AL14483 AL Primary

Addresses

Primary practice location

202 E Dr Hicks Blvd
Florence, AL 35630-5768

Mailing address

202 E Dr Hicks Blvd
Florence, AL 35630-5768
Phone (256) 760-0422

Other identifiers 2

IdentifierTypeStateIssuer
0133695OtherOTHER ID NUMBER-COMMERCIAL NUMBER
051503257MedicaidAL

Other names 1

  • ANTHONY J KALLIATH MD Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291852800000",
    "number": "1073567111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305768",
            "telephone_number": "256-760-0422",
            "fax_number": "256-760-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E DR HICKS BLVD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305768",
            "telephone_number": "256-760-0422",
            "fax_number": "256-760-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOD AND CANCER CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2010-12-09",
        "status": "A",
        "authorized_official_last_name": "KALLIATH",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-760-0422",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "AL",
            "license": "AL14483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0133695",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051503257",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANTHONY J KALLIATH MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.