Organization Active NPI

Center for Cancer and Blood Disorders

  • Non-Pharmacy Dispensing Site
  • Bethesda, MD
National Provider Identifier
1073660122
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
D0029675 Issued in MD
Legal business name
CENTER FOR CANCER AND BLOOD DISORDERS
Practice address
6410 Rockledge Dr
Ste 660
Bethesda, MD 20817-1809
Phone
(301) 571-0019
Fax
(240) 482-0555
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Ms. Carreen Huffman
Title
Adminstrator
Phone
(301) 571-0019

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X D0029675 MD Primary

Addresses

Primary practice location

6410 Rockledge Dr
Ste 660
Bethesda, MD 20817-1809

Mailing address

6410 Rockledge Dr
Suite 660
Bethesda, MD 20817-1809
Phone (301) 571-0019

Other identifiers 2

IdentifierTypeStateIssuer
350491300MedicaidMD
2132215OtherOTHER ID NUMBER-COMMERCIAL NUMBER

National Provider Directory

National Provider Directory

Locations

19735 Germantown Rd
Ste 255
Germantown, MD 20874
Phone (240) 912-7645

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1073660122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "SUITE 660",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-571-0019",
            "fax_number": "240-482-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 ROCKLEDGE DR",
            "address_2": "STE 660",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171809",
            "telephone_number": "301-571-0019",
            "fax_number": "240-482-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CANCER AND BLOOD DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "HUFFMAN",
        "authorized_official_first_name": "CARREEN",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "301-571-0019",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "MD",
            "license": "D0029675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "350491300",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "2132215",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.