Organization Active NPI

Community Hosptial Anderson Medical Oncology

  • Oncology Clinic/Center
  • Anderson, IN
National Provider Identifier
1114050556
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
01059601 Issued in IN
Legal business name
COMMUNITY HOSPTIAL ANDERSON MEDICAL ONCOLOGY
Practice address
1340 N Madison Ave
Anderson, IN 46011-1216
Phone
(765) 298-1621
Fax
(765) 298-4942
NPI assigned
Mar 14, 2007
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Tahir A Naqvi, MDNPI 1730136953
Title
Owner
Phone
(765) 298-1621

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
Oncology Clinic/Center 261QX0200X 01059601 IN Primary

Addresses

Primary practice location

1340 N Madison Ave
Anderson, IN 46011-1216

Mailing address

PO Box 68952
Indianapolis, IN 46268-0952
Phone (317) 802-3153

Other identifiers 1

IdentifierTypeStateIssuer
200492290MedicaidIN

National Provider Directory

National Provider Directory

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": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1114050556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68952",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462680952",
            "telephone_number": "317-802-3153",
            "fax_number": "317-870-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 N MADISON AVE",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460111216",
            "telephone_number": "765-298-1621",
            "fax_number": "765-298-4942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HOSPTIAL ANDERSON MEDICAL ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "NAQVI",
        "authorized_official_first_name": "TAHIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "765-298-1621",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "IN",
            "license": "01059601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200492290",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anderson, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.