McCi-Macomb Cancer Center

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MCCI-MACOMB CANCER CENTER

Doing business as

X-Ray Treatment Center, PC/Michigan Comprehensive Cancer Ctr. (MCCI)

Practice address

17435 Hall Rd
Macomb, MI 48044-4061

Phone

(586) 228-0299

Fax

(586) 228-5918

NPI assigned

Feb 21, 2006

Organization subpart

No

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

Authorized official

Name

Farideh R. Bagne, PH.D., J.D.

Title

Ceo

Phone

(248) 338-0300

Specialties & licenses 1

Addresses

Other names 1

• X-Ray Treatment Center, PC/Michigan Comprehensive Cancer Ctr. (MCCI) Doing business as

Tax ID family

McCi-Macomb Cancer Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• McCi-Michigan Center for Surgical Specialists

  • Surgery Physician
  • Farmington Hills, MI
  • NPI 1851366041
  NPD tax ID
• X-Ray Treatment Center

  • Radiation Oncology Physician
  • Eastpointe, MI
  • NPI 1346216728
  NPD tax ID

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093780371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17435 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444061",
            "telephone_number": "586-228-0299",
            "fax_number": "586-228-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17435 HALL RD",
            "city": "MACOMB",
            "state": "MI",
            "postal_code": "480444061",
            "telephone_number": "586-228-0299",
            "fax_number": "586-228-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCI-MACOMB CANCER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAGNE",
        "authorized_official_first_name": "FARIDEH",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-338-0300",
        "authorized_official_credential": "PH.D., J.D."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "X-Ray Treatment Center, PC/Michigan Comprehensive Cancer Ctr. (MCCI)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Lynn Matijega, CNM
• Matrx Health & Fitness, LLC
• Rami Matte
• Margaret Matthews
• Amy Lynn McCallumore, DPT, OMPT
• Beverly McGhee
• Kristin McGrail, FNP-C
• Christopher Sean McNeil, D.C.
• Medical Service Company
• Meijer Inc

• Radiation Oncology Physician in Macomb, MI
• Providers in Macomb, MI by specialty
• Radiation Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.